the left upper lobe. 66 24 hours after diuretic therapy 67 Case 10 68 (No Transcript) 69 Chest wall lesion arising off the chest wall and not the lung 70 Case 11 71 (No Transcript) 72 Pleural effusion Note loss of left hemidiaphragm. Localization of lesion. Oriented obliquely, the major fissure extends posteriorly and superiorly approximately to the level of the fourth vertebral body. This finding is most typical of squamous cell carcinoma (SCC).
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Identification of etiology. Notice over inflation on unaffected lung 43 Case 3 44 (No Transcript) 45 Right Middle and Left Upper Lobe Pneumonia 46 Case 4 47 (No Transcript) 48 Cavitationcystic changes in the area of consolidation due to the bacterial destruction of lung tissue. Confirmation of clinical suspension Complex problems Introduction of contrast medium CT chest MRI scan 36 Putting It Into Practice 37 Case 1 38 (No Transcript) 39 A single, 3cm relatively thin-walled cavity is noted in the left midlung. The portion of the left lung that corresponds anatomically to the right middle lobe is incorporated into the left upper lobe. Because there is no defined left minor fissure, there are only two lobes on the left the left upper 24 Lung Anatomy on Chest X-ray Left lower lobes 25 Lung Anatomy on Chest X-ray These two lobes are separated by a major fissure, identical. Note the right lateral gutter is blunted and the right diaphram is obscurred.