Case 1

Tracheo-bronchial tree

1.  Starting and ending point

http://www.meddean.luc.edu/lumen/MedEd/medicine/pulmonar/images/illust1/thyroid.jpg Drawing

http://www.meddean.luc.edu/lumen/MedEd/medicine/pulmonar/images/pe-image/frontal1.jpg front surface anatomy

http://www.meddean.luc.edu/lumen/MedEd/medicine/pulmonar/images/pe-image/backvie1.jpg Back surface anatomy

http://www.meddean.luc.edu/lumen/MedEd/medicine/pulmonar/images/bronctre.jpg Bronchogram

2.  Location and angle of Carina in PA view and Lateral view/ Widening and narrowing

http://www.meddean.luc.edu/lumen/MedEd/medicine/pulmonar/images/APD/nllung.jpg path

http://www.meddean.luc.edu/lumen/MedEd/medicine/pulmonar/images/cxr/570.jpg Broncgogram Carina

http://www.meddean.luc.edu/lumen/restricted/anatomy/dissector/thorax/post_med/images/res1_1.jpg Model

3.  Structure of Trachea/ Visibility of cartilagenous rings

http://www.meddean.luc.edu/lumen/meded/medicine/pulmonar/images/xray/79c.jpg Bronchogram

4.  Position in PA view and lateral view/ Lateral, forward and backward displacements

5.  Width and depth of Trchea/ Widening and narrowing

6. Relationship to surrounding structures/ Esophagus, Tracheo-esophageal stripe

7.  Till how many branches can you see bronchial tree/ Visibilty beyond

8. Compare Right and Left main bronchus in PA and Lateral view. / Aspiration

9. Structure surrounding LUL and RUL bronchus/ PA, LA, Nodes, Azygous vein

http://www.meddean.luc.edu/lumen/meded/medicine/pulmonar/images/xray/79a.jpg oblique view bronchogram

10.  Compare LUL and RUL/ Visibilty of RUL, Inraluminal lesions

http://www.meddean.luc.edu/lumen/MedEd/medicine/pulmonar/images/hussain2/Scan37.jpg path

http://www.meddean.luc.edu/lumen/meded/medicine/pulmonar/images/xray/136bl.jpg bronchogram

http://www.meddean.luc.edu/lumen/meded/medicine/pulmonar/images/xray/136c.jpg labelled  bronchogram

11.  Identify Intermediate bronchus in PA and Lateral view

12.  Identify RML and LLL bronchus

13.  Diseases of Tracheo- bronchial tree

14 identify lobar branches of left lung

http://www.meddean.luc.edu/lumen/meded/medicine/pulmonar/images/xray/79e.jpg image 4659 reverse

http://www.meddean.luc.edu/lumen/meded/medicine/pulmonar/images/xray/79f.jpg

 

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Case 1 answer

What is your diagnosis?

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Case 1 answer

Achalasia cardia

Inlet to outlet shadow on right is due to Esophagus and on left is due to Aorta

Barium Swallow

Dilatation of Esophagus to this extent is always due to a benign etiology.

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