[...]... Posterior recess of lung 9 Left atrium 10 Scapula 11 Lung apex 9 Chap- 01. qxd 10 /15 /02 6:05 PM Page Imaging the chest Question 2 Name the structures on these chest CT scans (Figs 1. 7 1. 10) 1 Fig 1. 7 Quiz case Fig 1. 8 Quiz case 10 Fig 1. 9 Quiz case 10 Chap- 01. qxd 10 /15 /02 6:05 PM Page 11 Case illustrations: plain films and CT 1 Fig 1. 10 Quiz case Answer (Figs 1. 7 1. 10) 1 Left subclavian artery 2 Left common... ‘stiffer’ and fail to collapse 12 Chap- 01. qxd 10 /15 /02 6:05 PM Page 13 Case illustrations: plain films and CT 1 Fig 1. 12 Supine pneumothorax The patient is on intensive care, has a tracheostomy and various lines The right heart border is ‘too’ clearly seen because it is outlined by air 13 Chap- 01. qxd 10 /15 /02 6:05 PM Page 14 Imaging the chest Question 4 1 24-year-old patient living in home for educational... vein 10 Descending aorta 11 Left lower lobe pulmonary artery 12 Oesophagus 13 Main pulmonary artery 14 Aortic root 15 SVC 16 Right pulmonary artery 17 Azygo-oesophageal recess 18 Descending aorta 19 Oesophagus 20 Left ventricle 21 Inferior vena cava (IVC) 22 Right lung (upper lobe) 23 Mediastinum 24 Left main bronchus 11 Chap- 01. qxd 10 /15 /02 6:05 PM Page 12 Imaging the chest Question 3 1 34-year-old... practice or on intensive care units Short lists of differential diagnoses are given in the following case examples 7 Chap- 01. qxd 10 /15 /02 6:05 PM Page Imaging the chest Case illustrations: plain films and CT 1 Question 1 Name the structures labelled on these chest X-rays (Figs 1. 5 and 1. 6) Fig 1. 5 Quiz case Fig 1. 6 Quiz case 8 8 Chap- 01. qxd 10 /15 /02 6:05 PM Page 9 Case illustrations: plain films and CT Answer... needs Breathless and distressed What do the chest X-rays (Fig 1. 13, inspiration; Fig 1. 14, expiration) show? What is the management? Fig 1. 13 Quiz case 14 Fig 1. 14 Quiz case Chap- 01. qxd 10 /15 /02 6:05 PM Page 15 Case illustrations: plain films and CT Answer Aspiration of foreign body The films are taken in inspiration and expiration giving the clue that the suspected diagnosis is an inhaled foreign body... 3 Practice Advisory for Preanaesthetic Evaluation A Report by the American Society of Anaesthesiologists Task Force on Preanaesthetic Evaluation, 20 01 xix This page intentionally left blank Chap- 01. qxd 10 /15 /02 6:05 PM Page 1 1 Imaging the chest How to read a chest X-ray 2 The ‘normal’ chest X-ray in examination vivas 7 Case illustrations: plain films and CT 8 1 Chap- 01. qxd 10 /15 /02 6:05 PM Page 2... pre-operative assessment and selection and interpretation of appropriate investigations It also includes knowledge of diagnostic imaging and xiii Prelims.qxd 10 /15 /02 6:05 PM Page xiv About the FRCA examination the appropriate anaesthesia and sedation, preanaesthetic preparation and techniques appropriate for adults and children for CT scan, MRI and angiography and post-investigation care An understanding of the... vein, 16 aortic arch 4 Fig 1. 2 Diagram of normal lateral chest X-ray: 1 ascending thoracic aorta, 2 sternum, 3 right ventricle, 4 left ventricle, 5 left atrium, 6 gastric air bubble, 7 right hemidiaphragm, 8 left hemidiaphragm, 9 right upper lobe bronchus, 10 left upper lobe bronchus, 11 trachea Chap- 01. qxd 10 /15 /02 6:05 PM Page 5 How to read a chest X-ray 5 1 1 6 2 7 8 3 9 4 Fig 1. 3 The ‘bumps’ which... and CT Answer (Fig 1. 5) 1 Trachea 2 Lung apex 3 Right para-tracheal stripe 1 4 Right hilum 5 Right atrium (not ventricle!) 6 Right costophrenic angle 7 Right cardiophrenic angle 8 Azygo-oesophageal stripe 9 Carina 10 Descending thoracic aorta 11 Gastric air bubble 12 Left ventricle 13 Left lower lobe pulmonary artery 14 Left upper lobe pulmonary vein 15 Aortic arch Answer (Fig 1. 6) 1 Trachea 2 Aortopulmonary... the chest 1 Fig 1. 1 Diagram of normal frontal chest X-ray: 1 trachea, 2 right lung apex, 3 clavicle, 4 carina, 5 right main bronchus, 6 right lower lobe pulmonary artery, 7 right artium, 8 right cardiophrenic angle, 9 gastric air bubble, 10 costophrenic angle, 11 left ventricle, 12 descending thoracic aorta, 13 left lower lobe pulmonary artery, 14 left hilum, 15 left upper lobe pulmonary vein, 16 aortic . y0 w0 h0" alt="" Radiology for Anaesthesia and Intensive Care Prelims.qxd 10 /15 /02 6:05 PM Page i This page intentionally left blank Radiology for Anaesthesia and Intensive Care Richard Hopkins Consultant. Darby (Figs 1. 55, 1. 78, 1. 83) Dr J. Hawarth (Figs 1. 80 1. 82, 1. 84 1. 86) Chapter 2 Dr A. Chalmers and Bath Royal United Hospital Film Museum (Figs 2 .11 , 2 .14 , 2 .15 , 2 .18 , 2 .19 , 2.28) Mr R. Law. FRANCISCO Prelims.qxd 10 /15 /02 6:05 PM Page iii Greenwich Medical Media 4th Floor, 13 7 Euston Road, London NW1 2AA © 2003 870 Market Street, Ste 720 San Francisco CA 9 410 9, USA ISBN 18 411 0 11 92 First published