Author/Editor     Kocijančič, Igor
Title     Mediastinum na preglednem rentgenogramu prsnih organov
Translated title     The mediastinum on a plain chest x-ray
Type     članek
Source     Med Razgl
Vol. and No.     Letnik 44, št. 4
Publication year     2005
Volume     str. 473-8
Language     slo
Abstract     Radiographic analysis of the mediastinum is challenging. Excellent knowledge of mediastinal anatomy and borders between individual mediastinal structures and the adjacent lungs is necessary in order to make analysis findings helpful to clinicians. Chest radiography is the first-step imaging method for analysis of the mediastinum. On chest x-rays, the mediastinum can be compared to a white box whose important contents, except for the trachea, cannot be seen, with the exception of the areas where they shape their wrapping membrane, the mediastinal pleura. The air-water interface at the boundary between the madiastinal pleura and adjacent lungs permits the contours of the mediastinum to be seen and evaluated. Abnormalities in the borders and shapes of mediastinal structures define pathological conditions in this part of the thoracic cavity and determine further diagnostic procedures.
Summary     Radiološka analiza mediastinuma (slovensko medpljučje) je za vsakogar zahteven izziv, saj omogoča kakovosten izvid le ob dobrem poznavanju normalne anatomije mediastinalnih struktur in njihovih stikov s pljuči. Rentgenski posnetek prsnih organov je prva slikovna diagnostična metoda za oceno mediastinuma. Na njem ga lahko primerjamo z belo liso med pljučnima kriloma. Posamezni organi zaradi svoje gostote in telesnega stika, z izjemo sapnice, niso dobro vidni, razen na mestih, kjer se bočijo iz svojega ovoja, to je mediastinalne plevre. Na meji med mediastinumom in pljuči namreč kontrastnost voda-zrak omogoča razpoznavo obrisa mediastinalnih organov in njihovo oceno. Spremenjeni ali zabrisani stiki ter spremembe v velikosti in legi mediastinalnih struktur opredelijo prisotnost patološkega dogajanja v tem delu prsne votline in usmerijo nadaljnjo diagnostiko.
Descriptors     THORACIC RADIOGRAPHY
MEDIASTINUM
MEDIASTINAL DISEASES
MEDIASTINAL NEOPLASMS