Introduction to Chest Imaging

Ralph Regueiferos R.T. Department of Radiology Mt Sinai Medical Center

Introduction to Chest Imaging

Does Radiation Frighten You ?

Inverse Square Law

Close to 50% of all cases require the use of a c-arm and almost 90% of all cases will have had or will require some type of x-ray procedure

Anatomical Landmarks

Anatomical Landmarks

Inspiration vs. Expiration

Inspiration or Expiration

55y/o male for hernia repair. Based on this film is he cleared for surgery

GOOD

Ralph and Paul are out of the O.R. They call you and ask them to check a post hickman port insertion for them. What will you tell them ?

Paul is lying on a beach in Hawaii and Ralph is busy in another room and cant get out to view a post CVP Line x-ray. Dr. Wittels asks you to view the x-ray and let him know what you see. What would your answer be ??

Attempted CVP Line Insertion

CT Scan confirming Pneumothorax

Post Chest Tube Insertion

Post Chest Tube Removal

You Make The Call

Confirm with CT Scan

You Make The Call

Same Patient Whats the Difference ?

You Make The Call

You Make The Call

Thank You
Ralph Regueiferos R.T.