Fig. 3.109 Anterior view of the chest wall of a man showing skeletal structures and the surface projection of the heart.
Fig. 3.110 Anterior view of the chest wall of a man showing skeletal structures, heart, location of the heart valves, and auscultation points.
Fig. 3.111 Views of the chest wall showing the surface projections of the lobes and the fissures of the lungs. A. Anterior view in a woman. On the right side, the superior, middle, and inferior lobes are illustrated. On the left side, the superior and inferior lobes are illustrated.
B. Posterior view in a woman. On both sides, the superior and inferior lobes are illustrated. The middle lobe on the right side is not visible in this view.
Fig. 3.112 Views of the chest wall. A. Posterior view in a woman with arms abducted and hands positioned behind her head. On both sides, the superior and inferior lobes of the lungs are illustrated. When the scapula is rotated into this position, the medial border of the scapula parallels the position of the oblique fissure and can be used as a guide for determining the surface projection of the superior and inferior lobes of the lungs. B. Lateral view in a man with his right arm abducted. The superior, middle, and inferior lobes of the right lung are illustrated. The oblique fissure begins posteriorly at the level of the spine of vertebra TIV, passes inferiorly crossing rib IV, the fourth intercostal space, and rib V. It crosses the fifth intercostal space at the midaxillary line and continues anteriorly along the contour of rib VI. The horizontal fissure crosses rib V in the midaxillary space and continues anteriorly, crossing the fourth intercostal space and following the contour of rib IV and its costal cartilage to the sternum.
Fig. 3.113 Views of the chest wall of a man with stethoscope placements for listening to the lobes of the lungs. A. Anterior views.
B. Posterior views.
Apex of right lungApex of left lungSuperior lobe of right lungSuperior lobe of left lungMiddle lobe of right lungInferior lobe of right lungInferior lobe of left lungABIIIIIIIVVVIVIIVIIIIXXXIXIIIIIIIIIVVVIVIIVIIIIXX
Fig. 3.114 A. Normal left coronary artery angiogram. B. Left coronary artery angiogram showing decreased flow due to blockages.
C. Mechanism for perceiving heart pain in T1–4 dermatomes.
Fig. 3.115 Axial maximum intensity projection (MIP) CT image through the heart. A. Normal anterior interventricular (left anterior descending) artery. B. Stenotic (calcified) anterior interventricular (left anterior descending) artery.
eFig. 3.116 Cervical ribs. A. Neck radiograph demonstrating bilateral cervical ribs. B. Coronal computed tomography image showing cervical ribs.
eFig. 3.117 Chest radiograph demonstrating an air/fluid level in the pleural cavity.
eFig. 3.118 Chest radiograph of an individual with a pacemaker. The pacemaker wires (2) can be seen traveling through the venous system to the heart where one ends in the right atrium and the other ends in the right ventricle.
eFig. 3.119 Chest radiograph demonstrating translucent notches along the inferior border of ribs III to VI.
eFig. 3.120 A. CT image of aortic dissection. B. Normal aorta (left) and an aortic dissection (right). The line in the right figure indicates the plane of the CT scan shown in A.
The true lumen surroundedby the collapsed intima and mediaCollapsed intima and mediaABThe false lumenThe false lumenAscendingaortaThoracic aortaThe true lumenEntrypointReturnpoint eFig. 3.121 Chest radiograph showing left upper lobe infection.