Thank you for this excellent educational video! I am a pulmonologist in Taiwan. The location of left upper lobe (LUL) bronchus in CXR (8:01) and chest CT (8:13-8:17) seemed not match. According to the CT, the LUL bronchus was at or slightly lateral to the level of left pulmonary artery, the major contributing opacity of left hilum in CXR. The actual location of LUL bronochus in CXR may be more lateral to the depicted one at 8:01 in this video.
From wiki bronchial artery, which seems to be omitted on every anatomy course: “The bronchial arteries and their supply of nutrients to the lungs are also attributed to the observation that an occluded (either ligated or by an embolus) pulmonal artery very rarely results in lung infarction.[8] The bronchial arteries can maintain a supply of oxygenated blood to lung tissue.”
The bronchial arteries are tiny and don't account for the opacity visible on CXR. Check my video on the branches of the aorta where I trace out the course of the right and left bronchial arteries: czcams.com/video/l1Kq3WIk0fk/video.html
@@ThoracicRadiology thanks! I guess my issue is more with that you never hear that a pulmonary embolism doesn’t mean your lung is going to infarct - because the lung has dual blood supply - and in many cases subsegmental PEs are asymptomatic/undetected.
Good day sir. I just want to ask what it means hila and pulmonary vessels are within normal limits? Is it okay or have an effect for applying to work? Thank you
Good morning Dr Rishi, Had gone for a regular checkup. Would very much appreciate if you would give your valued opinion for the same. Is there any way to contact you via email? Thanks.
Dalia Abd. Hilar enlargement can be from a few different reasons. One reason is because of a mass. Sometimes it can be from many enlarged lymph nodes. Another reason is from pulmonary artery enlargement, for example in patients with pulmonary hypertension.
Hi, I can't say for sure in your specific case. There are a lot of reasons why a person might have hilar lymphadenopathy. It is best to ask your doctor and follow their recommendation.
could mean that they are big, but can't say for sure what it means in your specific case. ask your doc bc they will know more about your specific history.
The right pulmonary artery is not something you see in the hilum. By the time the right pulmonary artery reaches the hilum, it has already divided into the right upper lobe branches and the branch supplying the right middle and lower lobes (the interlobar artery).
What a great professor You are! Simple, meaningful and straight to the point! Claps on you Sir👏🏼👏🏼👏🏼
Clear, and straight to the point! Thank you!
Rather than 1hr lecture you nailed it with a CT. The irony is that I needed a CT to understand Xray! Anyways great job.
Finally someone giving concise info, thanks to you and keep up the good work
Excellent! Amazing
Great job! Thank you very much!
You made it so lot easy to grasp! Thankyou so much
Awsome!Thank you!
As a radiographer learning to report chest x rays this has really helped me visualise the Hilar properly thank you
thank you!
Amazing. thank you
Excellent sir. Thanks a lot 🌹
This is exactly what i was looking for, tysm for the informative video
wonderful video! could you please tell me how could we distinguish pul. HTN? is there any criteria on CXR?
Plain as water.... Thank you very much.
Great talk.
Thanks a-lot for the great effort .. we need a video of abnormalities at a hilum including a lymph node assessment plz .
Awesome ..Thank you so much.
Most welcome 😊
Wao excellent teacher ✌️
Very well explained.
Getting comprehensive & easy now to understand the complexity it was.
🎉 you are a great teacher. Hope I could find a teacher like you. 🎉🎉
Thanku for such good explanation..CECT combination with x ray helped .
Thank you for this excellent educational video! I am a pulmonologist in Taiwan. The location of left upper lobe (LUL) bronchus in CXR (8:01) and chest CT (8:13-8:17) seemed not match. According to the CT, the LUL bronchus was at or slightly lateral to the level of left pulmonary artery, the major contributing opacity of left hilum in CXR. The actual location of LUL bronochus in CXR may be more lateral to the depicted one at 8:01 in this video.
You are amazing
Comparing with the CT was very good idea!! thank you so much
Glad it was helpful!
X RAY DISECTION OF HILA( identifying components of it ) ....GREAT
Fantastic
Thanks a lot for the amazing video
Summary: 5:33 and 8:21
Thank you 🙏
You are my savior!!!
Thank you very much❤
Hi..what does it mean when your chest xray impression says that Right hilar lymphoadenopathy? Hope you will answer me. Thank you.
It usually means that the radiologist thinks the patient has enlarged lymph nodes at the root of the lung.
Very well Said
very helpful, thanks
The pulmonary pattern is deformed in the hilar... and basal sections...? What does it mean sir .
Please tell me the treatment
From wiki bronchial artery, which seems to be omitted on every anatomy course:
“The bronchial arteries and their supply of nutrients to the lungs are also attributed to the observation that an occluded (either ligated or by an embolus) pulmonal artery very rarely results in lung infarction.[8] The bronchial arteries can maintain a supply of oxygenated blood to lung tissue.”
The bronchial arteries are tiny and don't account for the opacity visible on CXR. Check my video on the branches of the aorta where I trace out the course of the right and left bronchial arteries: czcams.com/video/l1Kq3WIk0fk/video.html
@@ThoracicRadiology thanks! I guess my issue is more with that you never hear that a pulmonary embolism doesn’t mean your lung is going to infarct - because the lung has dual blood supply - and in many cases subsegmental PEs are asymptomatic/undetected.
@@Rene-uz3eb yup that's true. Not all PEs result in infarct.
What is the meaning of pachy opacity in left hiler,, is it dangerous? Plz answer me??
It can mean a lot of things. I would talk to your doctor and see what the radiologist recommends for follow up. Thx
Nice
Hila are prominent.. What meaning
Good day sir.
I just want to ask what it means hila and pulmonary vessels are within normal limits? Is it okay or have an effect for applying to work? Thank you
the hila are the part of the lungs where all the vessels come in and out. they are saying this is normal.
Very nice
Can you plz tel me what d meaning of minimal carcified bilateral hilar?thank you! Hope u see my mssge
Hi, this means that there are lymph nodes that have a little bit of calcification in them.
Thank you
Good morning Dr Rishi, Had gone for a regular checkup. Would very much appreciate if you would give your valued opinion for the same. Is there any way to contact you via email?
Thanks.
Hi what is the difference between a left hilar mass and left hilar enlargement?
Dalia Abd. Hilar enlargement can be from a few different reasons. One reason is because of a mass. Sometimes it can be from many enlarged lymph nodes. Another reason is from pulmonary artery enlargement, for example in patients with pulmonary hypertension.
When are you putting more videos,expalin ct abdomen as well
My son has a hilar lymphadenopathies in left lungs this is a very serious or danger?? Pls response
Hi, I can't say for sure in your specific case. There are a lot of reasons why a person might have hilar lymphadenopathy. It is best to ask your doctor and follow their recommendation.
Tnx
It is bad to have hilar mass?
Usually yeah. But there are some things that are benign (meaning not harmful). You should follow your doctor's recommendations.
Meaning of prominent hila
could mean that they are big, but can't say for sure what it means in your specific case. ask your doc bc they will know more about your specific history.
Where is rt pulm artery
The right pulmonary artery is not something you see in the hilum. By the time the right pulmonary artery reaches the hilum, it has already divided into the right upper lobe branches and the branch supplying the right middle and lower lobes (the interlobar artery).
@@ThoracicRadiology thank-you sir
Plz Help My report - Prominent bilateral hilar shadows noted .
Not sure without some context. What were the recommendations in the radiology report?
@@ThoracicRadiology MD Dr suggest me sputum n one tuberculosis test
@@ThoracicRadiology How can I share my all reports to you pls
Your doctor and radiologist know more about your medical history than I do, so it is best that you follow their recommendations rather than mine.
@@alliswell4272how can help u
What is b/l peri hillar congestion is noted
I'm not sure what it means in your case but sometimes people use it to mean pulmonary edema. Best to ask your doc for your specific case.
Thanks a lot !