2. Sonography in Early Diagnosis
of Chest Diseases
Gamal Rabie Agmy ,MD ,FCCP
Professor of Chest Diseases, Assiut University
3.
4. Bedside Chest Radiography in the Critically
ill
At the bedside, chest radiography remains the reference for lung imaging in
critically ill patients. However, radiographical images are often of
limited quality
•
Movements of the chest wall
•
Film cassette posterior to the
thorax
c
•
X-ray beam originating anteriorly, at
a shorter distance than
recommended and not tangential to
the diaphragmatic cupola .
Mistaken assessment
of :
•
•
•
Pleural effusion
Alveolar consolidation
c
Alveolar-interstitial
syndrome
02 09 2012
5. Lung Computed Tomography in
the Critically ill
Risk of transportation
http://www.reapitie-
02 09 2012
19. Tissue pattern representative of Alveolar
Consolidation
Presence of hyperechoic punctiform
images
representative of air bronchograms
Pleural
effusion
Lower lobe
33. The key sonographic signs of
Pneumothorax
Absent lung sliding
Exaggerated horizontal artifacts
Loss of comet-tail artifacts
Broadening of the pleural line to a band
47. Schematic representation of the parenchymal, pleural and vascular
features associated with pulmonary embolism.(Angelika Reissig, Claus
Kroegel. Respiration 2003;70:441-452 )
