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Pocket Atlas of Sectional Anatomy

Volume 2

III

Pocket Atlas of Sectional Anatomy

Computed Tomography and Magnetic Resonance

Imaging

Volume 2

Thorax, Abdomen, and Pelvis

Torsten B. Moeller, M. D.	Emil Reif, M. D.
Am Caritas-Krankenhaus	Am Caritas-Krankenhaus
Dillingen/Saar	Dillingen/Saar
Germany	Germany
Second Revised Edition
418 Illustrations

Thieme

Stuttgart · New York 2001

Library of Congress Cataloging-in Publication Data is available from the publisher

This book is a completely revised and enlarged new edition based on the 2nd German edition published and copyrighted 2000 by Georg Thieme Verlag, Stuttgart, Germany. Title of the German Edition: Taschenatlas der Schnittbildanatomie

1st German edition 1993 1st English edition 1994 1st Japanese edition 1994 1st Spanish edition 1995 1st Greek edition 1995 1st French edition 1996 2nd German edition 2000

Rüdigerstrasse 14, D-70469 Stuttgart,

Germany

Thieme New York, 333 Seventh Avenue,

New York, N.Y. 10001 USA

Typesetting by

primustype Robert Hurler GmbH 73274 Notzingen, Germany Printed in Germany by Grammlich, Pliezhausen

ISBN 3-13-125602-8 (GTV)
ISBN 0-86577-872-8 (TNY)	1 2 3 4 5

Important Note: Medicine is an everchanging science undergoing continual development. Research and clinical experience are continually expanding our knowledge, in particular our knowledge of proper treatment and drug therapy. Insofar as this book mentions any dosage or application, readers may rest assured that the authors, editors, and publishers have made every effort to ensure that such references are in accordance with the state of knowledge at the time of production of the book.

Nevertheless, this does not involve, imply, or express any guarantee or responsibility on the part of the publishers in respect to any dosage instructions and forms of application stated in the book.

Every user is requested to examine carefully the manufacturer’s leaflets accompanying each drug and to check, if necessary in consultation with a physician or specialist, whether the dosage schedules mentioned therein or the contraindications stated by the manufacturers differ from the statements made in the present book. Such examination is particularly important with drugs that are either rarely used or have been newly released on the market. Every dosage schedule or every form of application used is entirely at the user’s own risk and responsibility. Theauthorsandpublishersrequestevery user to report to the publishers any discrepancies or inaccuracies noticed.

Some of the product names, patents, and registered designs referred to in this book are in fact registered trademarks or proprietary names, even though specific reference to this fact is not always made in the text. Therefore, the appearance of a name without designation as proprietary is not to be construed as a representation by the publisher that it is in the public domain.

This book, including all parts thereof, is legally protected by copyright. Any use, exploitation, or commercialization outside the narrow limits set by copyright legislation, without the publisher’s consent, is illegal and liable to prosecution. This applies in particular to photostat reproduction, copying, mimeographing or duplication of any kind, translating, preparation of microfilms, and electronic data processing and storage.

Dedicated to our parents, Alfred and Friedel Möller Dr. Emil and Edith Reif in love and gratitude

VII

Preface to the Second Edition

The success of the first edition of the Pocket Atlas of Sectional Anatomy was very gratifying. The numerous foreign-language translations, plus the many positive responses and constructive criticisms, motivated us to improve the book further. We realized that significant technological advances had been made since the first edition, especially in sectional imaging procedures (subsecond spiral CT scanning, latest MR imagers). Resolved to go more than just “half way,” we replaced all of the original images and color line drawings with new ones. As a result, this volume is more than just a second edition, more than a revision. It even includes a completely new chapter on vascular and biliary tract imaging.

We retained an important feature of the first edition: a wealth of information presented in a user-friendly form. As before, the material is organized according to a strict format that makes use of multicolored text and small schematic drawings that include special views of the pulmonary and hepatic segments, for example.

Once again, many dedicated colleagues helped us in completing this book. Selecting a few names for special recognition, we express sincere thanks to Brigitte Schild, Pia Saar-Schneider, Sabine Mattil, Monika Baumann, Andrea Kinsinger, Claudia Zimmer, and Dr. Markus Bach.

Dillingen, October 2000

Torsten B. Möller and Emil Reif

VIII

Contents

Thorax

CT of the Thorax, axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 MRI of the Thorax, sagittal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 MRI of the Thorax, coronal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Pulmonary Vessels, MR-Angiography . . . . . . . . . . . . . . . . . . . . . . . . . . . 58 MR-Mammography, axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Abdomen

CT of the Abdomen, axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62 MRI of the Abdomen, sagittal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 MRI of the Abdomen, coronal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128 Renal Artery, MR-Angiography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140 MR-Angiography of the Coeliac Trunk . . . . . . . . . . . . . . . . . . . . . . . . . . 142 MR-Angiography of the Splenic and Portal Veins . . . . . . . . . . . . . . . . . 144 MR-Cholangiopancreatography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146

Pelvis

MRI of the Female Pelvis, axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 148 MRI of the Female Pelvis, sagittal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160 MRI of the Female Pelvis, coronal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 170 MRI of the Male Pelvis, sagittal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 186 MRI of the Male Pelvis, coronal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 194 MRI of the Prostate, axial . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 204 MRI of the Testes, sagittal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208

Lower Extremity

MR-Angiography of the Lower Extremity . . . . . . . . . . . . . . . . . . . . . . . . 210

References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

214

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 215

Thorax

Abdomen

Pelvis

Lower Extremity

2 CT of the Thorax

33 34 35 36 37 38

Segments of the lungs

Right Lung

1.Apical segment of upper lobe

2.Posterior segment of upper lobe

3.Anterior segment of upper lobe

4.Lateral segment of middle lobe

5.Medial segment of middle lobe

6.Superior segment of lower lobe

7.Medial basal (cardiac) segment of lower lobe

8.Anterior basal segment of lower lobe

9.Lateral basal segment of lower lobe

10.Posterior basal segment of lower lobe

Left Lung

1+2.Apicoposterior segment of upper lobe