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DENOMINATION
- Radiography of the thorax,
- X-rays (Rx) of thorax,
- Thorax badge.
DEFINITION
The use of the x-rays to form a two-dimensional image of the thorax with his anatomical structures (lungs, heart, big arteries, bony structure, and the diaphragm) this are what is called a radiography of the thorax.
For it one is necessary a form of electromagnetic radiation (like a light), they have a big energy and for it they can penetrate across the human body and produce an image in a photo badge. In this step the radiations are modified and by it, on having passed for dense structures for the bone in the badge, a white tone will appear, if it crosses structures with air a black tone appears. Between both thickness different tones can appear of gray, depending on the thickness of the structure crossed by the bundles of x-rays.
Thus there will happen a two-dimensional image of a structure of the body, with different tones of the black to the white person separating structures and delimiting textiles. On having had a normal model, there can be compared the changes that appear to extract information for the diagnosis of different illnesses.
HOW IS IT REALIZED
It will be realized in a place appropriate and conditioned to have a producing device of x-rays, sufficiently isolated by means of structures that do not allow to penetrate the x-rays out of them, as there can be thick concrete walls, with lead.
The Rx device will be placed in the back of the patient and the photo badge to obtain the image will be placed partly previously of the patient. In general position calls him this one a Radiography anteroposterior of thorax.
A radiology technician will be the manager of realizing the exploration, and depending on the type of badge, structure, weight of the patient, and other variables it will fit the time of exhibition and the intensity of the produced Rx. The technician will be covered by an apron of lead and a book-keeper of exhibition for his own safety.
It be usually necessary not to move while a radiography is realized to prevent, as in a photo, the radiography from going out blurred and from getting lost definition. In necessary case his doctor can request more than one Rx ó in different positions.
PREPARATION OF THE PATIENT FOR A RADIOGRAPHY
- It usually not be necessary to be on an empty stomach in the simple radiographies, in other types of explorations with Rx if it is usually necessary, inclusive with other previous instructions.
- It is necessary to take from him the clothes of the area to be explored, also to take from him all kinds of metallic objects (necklaces, bracelets, clocks, earrings, belts, etc...).
- The women must inform it doctor or the technician in Rx if it is or can be pregnant or if it has a DIU put (intrauterine device).
PROBLEMS WITH THE RADIOGRAPHIES
The achievement of a simple radiography does not cause any pain.
The exhibition to the Rx is low, the current devices use very low radiation to produce images.
In any case the pregnant women and the children are more sensitive to this exhibition and they must have more care and avoid unnecessary explorations.
WHY IS A RADIOGRAPHY OF THORAX REALIZED
One asks for a thorax radiography in case of thoracic or pulmonary symptoms; between the most frequent they are:
- Persistent cough
- Abundant expectoration
- Expectoration with blood
- Thoracic pain
- Make difficult to breathe
- Fever with pulmonary symptoms
- In case of preoperative study.
NORMAL RADIOGRAPHY OF THORAX
Since we can see in the image of a Rx of normal thorax the following structures can be appreciated:
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1. - Diaphragm
2. - Bosom costofrénico
3. - Later Arch of the ribs
4. - Homoplato
5. - Clavicle
6. - Previous Arch of the first rib
7. - Trachea
8. - Button of the quiet aortic one
9. - Arch of the pulmonary artery
10. - Left cardiac Ventricle
11. - Pulmonary Hilio
12. - Right cardiac Auricle
13. - Pulmonary Beaches
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ABNORMAL RESULTS OF A RADIOGRAPHY OF THORAX
If there appear alterations of the pulmonary beaches:
- Atelectasias (losses of volume)
- Effusion pleural (liquids collection in the pleura)
- Pulmonary edema
- Chronic pulmonary illnesses
- Pneumonia
- Neumotórax (collapse of the lung, air loss)
- Pleuritis
- Tuberculosis
If alterations appear in the cardiac arches or size they can be appreciated:
- Increase of the cardiac size
- Pericarditis
- Cardiac effusion
- Right or left heart failure
Alterations of the thoracic wall (ribs and spine):
- Bones cancer
- Column scoliosis
- Ribs breaks
Alterations in the diaphragm:
- Hiatus rupture
- Palsy of the diaphragm
Problems that can be appreciated in the mediastino:
- Artery elongated aorta or elongada
- Calcifications in the artery aorta
- Developing lymphatic size ganglions
- Tumors (linfomas, timomas)
TO SEE ALSO
WHAT DOCTOR CAN TREAT ME?
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