• Title/Summary/Keyword: Chest Radiography

Search Result 370, Processing Time 0.024 seconds

A Statistical Observation on Chest Radiography of Infants and Early Children (유유아(乳幼兒)의 흉부X선검사(胸部X線檢査)에 대(對)한 통계학적(統計學的) 고찰(考察))

  • Choi, Jong-Hak;Jeon, Man-Jin;Kim, Yong-Ill
    • Journal of radiological science and technology
    • /
    • v.2 no.1
    • /
    • pp.45-50
    • /
    • 1979
  • For this study, 2,712 sheets of the chest x-ray films of neonatuses, infants and early children were observed statistically and then the following results were obtained: 1. Seasonal increment of patients was overwhelming in spring and summer in compare with in autumn and winter. 2. Males was majority in distribution by sex. Neonatal and infancy group was the largest in number by forming 29.46% in distribution by age group and then follows six-years group(14.75%), one-year group(13.64%) and five-years group(12.61%) 3. In radiographical projection for chest, a great proportion was P-A projection as 53.72%. But, almost all the neonatal and infancy group and emergency patients were by A-P projection 4. As for x-ray findings, 78.47% was normality while 21.53% was abnormality. Tuberculosis(176 cases), was the largest in number in abnormal cases and next in rank was pneumonia(128 cases)and then congenital heart disease(82 cases). 5. Adequacy of exposure was disclosed as follows: 57.01% in correct-exposure 29.20% in over-exposure, 13.79% in under-exposure. 6. The x-ray beam was not restricted in 77.10% of total films. 7. "Good" formed 30.01% in position immobilizing of the patient and "ordinary" formed 38.02%, "bad" 31.97%. Especially, "Bad" formed high percentage in neonatal and infancy group.

  • PDF

A Case of Benign Fibrous Mesothelioma of the Pleura (흉막의 양성 섬유성 중피종 1예)

  • Lee, Sung-Keun;Kim, Doe-Min;Jan, Kyong-Sun;Park, Sae-Jong;Keun, Jae-Sung;Kim, Woing-Su;Kang, Jong-Yuel;Kim, Myung-Sun
    • Tuberculosis and Respiratory Diseases
    • /
    • v.46 no.3
    • /
    • pp.432-437
    • /
    • 1999
  • Benign fibrous mesothelioma of the pleura is a relatively rare neoplasm originated from pleural mesothelial cell, often asymptomatic or presenting with a specifical sign. One of the main problems, concerns the preoperative differential diagnosis, mainly because it is difficult to differentiate between benign and malignant type. A 62-year old woman presented with recurrent chest pain. The chest radiography in a patient was suspected localized pleural mesothelioma. The chest computed tomography scan showed that mass like lesion of well marginated ovoid shape with homogenous attenuation on anterior-basal segment of right lower lobe. After resection of a pleural mass by thoracoscopic extirpation from right hemithorax, Localized benign fibrous mesothelioma of the pleura was confirmed by pathology and immunohisto-chemical staining. We report here one case of pleural benign fibrous mesothelioma with some considerations on its diagnosis and treatment.

  • PDF

Effects of the Scattered Radiation on Image Quality and Exposure Dose in Chest Radiography (흉부X선촬영시(胸部X線撮影時) 산란선(散亂線)이 화질(畵質)과 피폭선량(被曝線量)에 미치는 영향(影響))

  • Iino, Yu;Hayashi, Taro;Ishida, Yuji;Maeda, Mika;Sakurai, Tatsua;Lee, Man-Koo;An, Bong-Sun;Kim, Jung-Min
    • Journal of radiological science and technology
    • /
    • v.16 no.2
    • /
    • pp.27-38
    • /
    • 1993
  • To investigate relationships between image guality and exposure dose, Chest X-ray films were evaluated for the following points:how much scattered radiation can affect reduction in image quality and can be permissible diagnostically? For this purpose using a test charts and Burger's phantoms. The visual evaluation of their X-ray films and the measurements of scattered radiation were carried out. The dose of scattered radiation ranging from 20 to 25% was found to be for nothing in any diagnostic obstacle. In this range, surface doses were low of 17, 21, and $25{\mu}Gy$ for The thickness of the chest of 15, 20 and 25 cm respectively. Comparison of these high voltage X-ray films with low voltage ones showed a surface dose rate of 1:11.7. Therefore, X-ray quality, photosensitive materials(film and screen) and grid should be selected very carefully for the purpose of reduction in exposure dose.

  • PDF

Re-expansion Pulmonary Edema in a patient with Secondary Spontaneous Pneumothorax Following Closed Thoracostomy: A Case Report (이차성 자연기흉 환자에게 폐쇄식 흉관삽입술로 인한 재팽창성 폐부종에 관한 증례보고)

  • Seon Woo Oh;Su Wan Kim
    • Journal of Medicine and Life Science
    • /
    • v.18 no.3
    • /
    • pp.61-65
    • /
    • 2021
  • Although re-expansion pulmonary edema (RPE) is rare (incidence rate <1%), it is associated with a mortality rate of >20%; therefore, early diagnosis and treatment are important. We report a case of RPE following chest tube insertion in a patient with spontaneous pneumothorax. We have specifically focused on the mechanism underlying RPE and the possible etiology. An 82-year-old man with a history of chronic anemia, chronic obstructive pulmonary disease, diabetes mellitus, and hypertension was referred to the emergency department for management of recurrent right-sided pneumothorax. We performed emergency closed thoracostomy for suspected tension pneumothorax, which led to stabilization of the patient's vital signs; however, he coughed up frothy pink sputum accompanied by severe right-sided chest pain 30 min postoperatively. The patient showed new-onset right pulmonary consolidation on chest radiography, as well as desaturation, tachycardia, and tachypnea and was diagnosed with RPE. He was transferred to the intensive care unit for mechanical ventilation and supportive treatment using diuretics, ionotropic agents, and prophylactic antibiotics. RPE gradually resolved, and the patient was extubated 3 days after admission. He has not experienced recurrent pneumothorax or pulmonary disease for 4 months. We emphasize the importance of RPE prevention and that aggressive ventilator care and supportive treatment can effectively treat RPE following an accurate understanding of the underlying pathogenetic mechanisms and risk factors.

Posterior Lung Herniation in Pulmonary Agenesis and Aplasia: Chest Radiograph and Cross-Sectional Imaging Correlation

  • Ji Young Kim;Woo Sun Kim;Kyung Soo Lee;Bo-Kyung Je;Ji Eun Park;Young Jin Ryu;Young Hun Choi;Jung-Eun Cheon
    • Korean Journal of Radiology
    • /
    • v.22 no.10
    • /
    • pp.1690-1696
    • /
    • 2021
  • Objective: To describe the anatomic locations and imaging features of posterior lung herniation in unilateral pulmonary agenesis and aplasia, focusing on radiograph-CT/MRI correlation. Materials and Methods: A total of 10 patients (seven with pulmonary agenesis and three with pulmonary aplasia, male: female = 1:9, mean age 7.3 years, age range from 1 month to 20 years) were included. Chest radiographs (n = 9), CT (n = 9), and MRI (n = 1) were reviewed to assess the type of lung underdevelopment, presence of anterior and posterior lung herniation, bronchus origin, supplying artery, and draining vein of the herniated lung. Results: Pulmonary agenesis/aplasia more commonly affected the left lung (n = 7) than the right lung (n = 3). Anterior lung herniation was observed in nine of the 10 patients. Posterior lung herniation was observed in seven patients with left pulmonary agenesis/aplasia. Two patients showed posterior lung herniation crossing the midline but not beyond the aorta, and five patients showed the posteriorly herniated right lower lobe crossing the midline to extend into the left hemithorax farther beyond the descending thoracic aorta through the space between the esophagus and the aorta. This anatomical configuration resulted in a characteristic radiographic finding of a radiolucent area with a convex lateral border and a vertical medial border in the left lower lung zone, revealing a tongue-like projection on CT and MRI. Conclusion: Posterior lung herniation occurs in unilateral left lung agenesis/aplasia. Approximately 70% of the cases of posterior lung herniation reveal a unique radiolucent tongue-like projection in the left lower lung zone on imaging studies, which is caused by the extension of the posteriorly herniated right lung farther beyond the descending aorta.

Quantitative Ga-67 Scintigraphy in patients with Silicosis: Comparison with Chest X-ray and Pulmonary Function (규폐증에서 Gallium-67 신티그라피의 정량적인 분석: 흉부 X-선과 폐기능검사와의 비교)

  • Shin, Kwang-Hyun;Sohn, Hyung-Sun;Chung, Yong-An
    • The Korean Journal of Nuclear Medicine
    • /
    • v.33 no.4
    • /
    • pp.381-387
    • /
    • 1999
  • Purpose: The International Labor Organization (ILO) has established an international standard for chest X-ray diagnosis of pneumoconiosis since 1980. However, there is a need for improved diagnosis and staging in occupational disease. We evaluated Ga-67 citrate scintigraphy quantitatively and correlated the scintigraphic findings with pulmonary function tests and chest X-ray results. Materials and Methods: Twenty-five patients underwent whole body scintigraphy with additional chest and abdomen images 48 hrs after intravenous injection of 185 MBq of Ga-67 citrate. Ten normal controls were also studied. Regions of interest (ROI) were drawn on the posterior image to measure counts from the liver and lungs (Lung/Liver Ratio). Results: L/L ratio according to the stages of chest X-ray classification were as follows; stage 0 (normal, n=10): $0.3948{\pm}0.0692$, stage 1 (n=10): $0.5763{\pm}0.1537$, stage 2 (n=11), $0.6849{\pm}0.1459$, stage 3 (n=4) $0.9913{\pm}0.0712$. There was a significant correlation between the scintigraphic L/L ratio and the X-ray stage (r=0.618, p<0.05). However, no significant correlation between L/L ratio and pulmonary function tests were observed (p>0.05). Conclusion: Quantitative Ga-67 scintigraphy can be a useful method for staging of silicosis. However, it is not a method to assess pulmonary functional impairment.

  • PDF

A Case of Mediastinal Cavernous Hemangioma

  • Lee, Seock-Yeol;Park, Kyung-Bae;Oh, Mee-Hye;Lee, Seung-Jin;Lee, Cheol-Sae
    • Advances in pediatric surgery
    • /
    • v.15 no.2
    • /
    • pp.161-165
    • /
    • 2009
  • We report a case of cavernous hemangioma of the anterior mediastinum that was incidentally detected by chest radiography taken at a routine health check-up. A mass lesion was seen in the anterior mediastinum on computed tomography and magnetic resonance imaging. Direct surgical removal was performed for diagnosis and treatment through right thoracotomy. Histopathology confirmed the mass as a cavernous haemangioma. Post-operative course was uneventful.

  • PDF

Prevalence and Risk Factors for Mycobacterium tuberculosis Infection among Contacts of Pulmonary Tuberculosis Patients (폐결핵환자 접촉자에서 결핵감염의 빈도와 결핵감염의 위험인자)

  • Park, Jae-Seuk
    • Tuberculosis and Respiratory Diseases
    • /
    • v.72 no.2
    • /
    • pp.140-148
    • /
    • 2012
  • Background: Detection and treatment of tuberculosis (TB) infection with contact investigation is a key component of TB control program. I evaluated the prevalence and risk factors for TB infection among contacts of recently diagnosed pulmonary TB patients in a tertiary hospital in Korea. Methods: 206 contacts of 90 adult pulmonary TB patients underwent tuberculin skin tests (TST) and chest radiography. The TST results were considered positive with an induration of 10 mm or more, suggesting TB infection. A standardized questionnaire was used to assess risk factors associated with TB infection. Results: TST was positive in 97 of 206 contacts of TB patients (47.1%) and positive rate of TST increased with age. The risk of TB infection was significantly associated with close contact with TB patients (sleeping in the same room) (odd ratio [OR], 4.94; 95% confidence interval [CI], 1.43~17.00). Conclusion: TB infection rate was higher in the elderly, and the risk of TB infection was significantly increased with close contact of TB patients.