By Carin A. Hagberg, MD (Eds.)
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Any clinician attempting to analyze imaging studies needs to be familiar with the advantages and disadvantages of different imaging techniques. This is especially important when selecting a study that will best depict the anatomic structures and pathologic processes of the airway that are of clinical interest. II. IMAGING MODALITIES A brief history and description of the different imaging modalities are presented here in chronologic order, starting with plain x-ray films. This will enable the reader to develop RADIOLOGY OF THE AIRWAY a good foundation for understanding how different imaging modalities are used in modern diagnostic imaging.
B C E F Figure 2-24 Left pleural effusion—posteroanterior (PA) (A) and lateral (B) chest x-ray films. PA chest shows almost complete “white-out” of the left hemithorax and minimal residual aerated left upper lung zone. There is a mass effect with deviation of the trachea to the right. On the lateral view (B), the pleural effusion is less apparent. The tipoff is the lack of the expected lucency overlying the spine at the base; see Figure 2-21C and D. Pulmonary edema—anteroposterior (AP) view of the chest (C) demonstrates bilateral hazy lung fields with air bronchogram.
Calcification and ossification are well depicted on x-ray examination. 2 This can be readily appreciated on plain films. Another condition, which also may signal difficult intubation, is calcification of the stylohyoid ligament (Fig. 35 C2 Figure 2-11 Cervical spine fracture. Lateral radiograph of the cervical spine demonstrates a compression fracture of the C5 vertebra (block arrow). A retropulsed fragment impinges on the spinal canal. RADIOLOGY OF THE AIRWAY Figure 2-12 Cervical spondylosis. Lateral cervical spine x-ray film.