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Einführung

Einführung. Sowohl das Ergebnis der Übersichtsaufnahme als auch die klinische Verdachtsdiagnose entscheiden über den Einsatz möglicher Zusatzuntersuchungen. Den grössten Stellenwert besitzt dabei mittlerweile die Computertomographie . Ferner sind dies je nach Fragestellung: Angiographie

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Einführung

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  1. Einführung • Sowohl das Ergebnis der Übersichtsaufnahme als auch die klinische Verdachtsdiagnose entscheiden über den Einsatz möglicher Zusatzuntersuchungen. Den grössten Stellenwert besitzt dabei mittlerweile die Computertomographie. Ferner sind dies je nach Fragestellung: • Angiographie • Sonographie • Szintigraphie oder • Magnetresonanztomografie.

  2. Angiographie

  3. Sonographie

  4. Szintigraphie

  5. Magnetresonanztomografie

  6. CT – FrontalebeneRekonstruktion

  7. pa-Strahlengang

  8. D A E F B ? ? G C

  9. ?

  10. ?

  11. Mediastinum Module • 1. Trachea • 2. Esophagus • 3. Trapezius muscle • 4. Left Clavicle • 4*. Right Clavicle • 5. Subscapularis Muscle • 6. Infraspinatus Muscle • 7. Supraspinatus Muscle • 8. Pectoralis Major Muscle • 9. Pectoralis Minor Muscle • 10. Serratus Anterior Muscle • 11. LatissimusDorsi Muscle • 12. Erector Spinae Muscles • 13. Left Subclavian Artery • 13* Distal Subclavian Artery • 13a. Right Subclavian Artery • 14. Left Common Carotid Artery • 14* Right Common Carotid Artery • 15. Left Internal Jugular Vein • 15* Right Internal Jugular Vein • 16. Scapula • 17. First Rib • 17*. Second Rib • 18. Manubrium of Sternum • 18*. Body of Sternum • 18+. Xiphoid Process of Sternum • 19. Aortic Arch • 19*. Ascending Aorta • 19+. Descending Aorta • 20. Azygous Vein • 20*. Arch of the Azygous • 21. Right Brachiocephalic Vein This vein is formed by the right internal jugular vein and the right subclavian vein. The junction is located behind the medial end of the right clavicle. It is a 21*. Left Brachiocephalic Vein • 22. Superior Vena Cava • 23. Thymus Gland • 24. Teres Major Muscle • 25. Teres Minor Muscle • 26. Left Subclavian Vein/Axillary Vein • 27. Brachiocephalic Artery • 28. Inferior Vena Cava • 29. Pulmonary Trunk. • 30. Right Pulmonary Artery • 30*. Left Pulmonary Artery • 31. Thoracic Duct • 32. Carina of Trachea • 33. Right Ventricle • 34. Right Atrium • 35. Left Atrium • 36. Left Ventricle • 37. Right Pulmonary Vein • 37*. Left Pulmonary Vein • 38. Interventricular Septum • 39. Coronary Sinus • 40. Tricuspid valve

  12. CT8

  13. CT 8, withlabels • Axial :: CT - noncontrast || ACR Codes: 6.-1 • NormalAnatomy, withlabels • CT - Level of the Right and LeftAtria (MediastinalWindow) • 1) Right Ventricle • 2) InterventricularSeptum • 3) Right Atrium • 4) LeftVentricle • 5) LeftAtrium • 6) Right PulmonaryVein • 7) Descending Aorta • 8) Level of Slice

  14. CT 5

  15. CT5 - Level of the Main Pulmonary Artery and Carina (Mediastinal Window) • 1) Internal Thoracic Artery and Vein • 2) Ascending Aorta • 3) Pulmonary Trunk • 4) Right Pulmonary Artery • 5) Left Pulmonary Artery • 6) Right and Left Main Bronchi At Level of Carina • 7) Descending Aorta • 8) Level of Slice

  16. CT4

  17. CT 4, withlabels • Axial :: CT - noncontrast || ACR Codes: 6.-1 • NormalAnatomy, withlabels • CT - Level of theAzygousArch (MediastinalWindow) • 1) SuperiorVenaCava • 2) AorticArch (seenote) • 3) AzygousArch • 4) Trachea • 5) Esophagus • 6) Level of Slice • Therearecalciumdeposits (lightflecks) inwall of Aorta.

  18. CT3

  19. CT 3, withlabels • Axial :: CT - noncontrast || ACR Codes: 6.-1 • NormalAnatomy, withlabels • CT - Level of theAorticArch (MediastinalWindow) • 1) InternalThoracicArtery and Vein • 2) SuperiorVenaCava • 3) AorticArch • 4) Trachea • 5) Esophagus • 6) Level of Slice

  20. CT2

  21. CT 2, withlabels • Axial :: CT - noncontrast || ACR Codes: 6.-1 • NormalAnatomy, withlabels • CT - Level of SuperiorVenaCava and LeftBrachiocephalicVein (Mediastinalwindow) • 1) LeftBrachiocephalicVein • 2) BrachiocephalicArtery • 3) SuperiorVenaCava • 4) LeftSubclavianArtery • 5) Trachea • 6) Esophagus • 7) Level of Slice • LeftBrachiocephalicVein (#1) is filledwithblood. SuperiorVenaCava (#3) containscontrastmedia.

  22. CT1

  23. CT 1, withlabels • Axial :: CT - noncontrast || ACR Codes: 6.-1 • NormalAnatomy, withlabels • CT - Level of theSternoclavicularJoint (MediastinalWindow) • 1) Right Clavicle • 2) Sternum • 3) Pectoralis Major Muscle • 4) Pectoralis Minor Muscle • 5) AxillaryVein • 6) Rib • 7) SubclavianVein • 8) Trachea • 9) LeftBrachiocephalicVein • 10) LeftCommonCarotidArtery • 11) LeftSubclavianArtery • 12) Vertebral Body • 13) Scapula • 14) Level of Slice • AxillaryVein (#5) and SubclavianVein (#7) arewhiterduetothepresence of contrastmedia. LeftBrachiocephalicVein (#9) doesnothavecontrastmedia.

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