Chest 83; Lung field

11 Aug

Chest 83; Lung field

The analogy of the gate and field are relevant to this X-ray, however the reference in this picture should be explained; it is a personal joke. One of my senior colleagues objected to the use of the term Lung fields when used in radiology reports. It was her personal bete noir and she would sharply reprove any junior staff foolish enough to use the phrase, “Cows live in fields! Where are the lung cows?” she would say.

The index X-ray was from a child with lobar pneumonia (in the right upper lobe) with a white-out in the right upper lung field. The pneumococcus is the commonest organism causing this disease. As students we were required to learn the pathological phases of pneumonia; Congestion, Red hepatisation, Grey hepatisation and Resolution, through which the disease passes. There are numerous defences designed to protect to the healthy lung, which is usually sterile with no resident bacteria: Nostril hairs stop large particles, epiglottis prevents incursion of food particles, respiratory mucus traps inhaled bacteria, and cilia – microscopic hair-like structures – waft debris out of the airways. Immune mechanisms including white cells protect and ingest bacteria. When these gates are inadequate or overwhelmed by sheer numbers of bacteria then an infection occurs.

4 Responses to “Chest 83; Lung field”

  1. leecleland August 12, 2013 at 8:31 pm #

    This is one hell of a piece of art!

    • Xraypics August 12, 2013 at 10:29 pm #

      Hi Lee, You are too kind. I’m really pleased you like it. I sweated over it far into the night adding and then removing layers. I thought it was over-worked but it seems to have taken on a life of it’s own. Cheers, Tony

  2. Playamart - Zeebra Designs August 20, 2013 at 1:23 pm #

    i’ve been missing my medical lessons! This is a great one! Before I read the post, I admired the image.. very nice, it looked a bit spookly, like ghosts might drift through the scene..
    Since I had a bout with pulmonary problems about this time last year, I’m delighted to have a crash course on why things go wrong!

    • Xraypics August 20, 2013 at 10:08 pm #

      Thanks so glad you liked it. I thought it was a little dark on screen but have had it printed recently and it is so full of complex texture that makes up for the colour spread. I appreciate your comments greatly, especially the “spookly” word which I’ll keep and use! Next month i hope to hold a solo exhibition of about ten prints in the entrance hall to our hospital and will post a blurb beside each picture as part of the explanation. Hopefully it will attract some comment. Tony.

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