Linea paratrachealis dextra
Linea paratrachealis dextra
定义
右气管旁条纹由气管壁、纵隔结缔组织及气管旁胸膜构成。气管内的气体与充气的右肺上叶共同勾勒出两者之间软组织的轮廓。
正常影像学表现:
右气管旁条纹起自锁骨水平,向下延伸,投影穿过上腔静脉,止于奇静脉弓水平的右气管支气管角。该条纹正常最大厚度为4毫米,且宽度应均匀一致。
据报道,右气管旁条纹可在83%至97%的后前位胸部X线平片上显示。
异常影像学表现:
该条纹轮廓异常、增宽或消失,可能由其任一组成部分的病变所致,范围涵盖气管黏膜至胸膜腔,包括气管癌、气管旁肿块(最常见为淋巴结肿大)以及胸腔积液或胸膜增厚。
參考資料
Gibbs JM, Chandrasekhar CA, Ferguson EC, Oldham SA. Lines and stripes: where did they go?--From conventional radiography to CT. Radiographics. 2007 Jan-Feb;27(1):33-48. doi: 10.1148/rg.271065073. PMID: 17234997.
Marano R, Liguori C, Savino G, Merlino B, Natale L, Bonomo L. Cardiac silhouette findings and mediastinal lines and stripes: radiograph and CT scan correlation. Chest. 2011 May;139(5):1186-1196. doi: 10.1378/chest.10-0660. PMID: 21540217.
Cardiac silhouette findings and mediastinal lines and stripes: X-ray and computed tomography correlation R. Marano, G. Savino, C. Liguori, A. Meduri, L. Natale, L. Bonomo; Rome/IT CR-222 poster ECR 2009
Mediastinal lines, stripes and interfaces on PA chest radiograph with CT correlations - N. Bystrická, H. Poláková, J. Sykora; Bratislava/SKC-0442ECR 2013 10.1594/ecr2013/C-04