Document ba42D7JkmdnmEJJvXyD0LOp7g

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VjJ tpo. 3O O3 M3 *wto0o *pop1.. o, to w to cton 3o Comments s h o u ld be re c o rd e d as f o r C om plete C la s s if ic a t io n (page 10) 1908^60 dna DU 039018 S' o o X so =r to to g> to co *5 '-*3* W 3 to *- 3 to 3* *3. to- o to 3 r- rr rr O to to -> t5o cl tp3-* o. a to a hq> o> ri ft Q, M -* H- : S'g rc5 to to to *i to o i) It O S -* CL 3 O to 9} tror >to*h0 * 3 3 oj o j O f* f* Q. t tNo Cl cH- h :retrCi5 h* 3 jb e- = *a 3 is H3 3* to to to < a i3i---' 33r3r *< rr 3 *3 3 H* O HV-* **> rt H C to C to t<or '3O- t3o 3 3 *3 to 3 (tO D to' *-) C. - o 8908^60 ana -! 3 cf w> O W to 3* O to H- rr a 1 3 <1- CR H- O to S' rr O e 01 0? rr H- CT 9J 3* O to tJ O to to H H- to H- to *1 CL \ Ho >q. 3 "X5 H- O 3 >3 H- to to 3 *3 rj to ro w to to h- M to 3 to 3 ^ *3 to 3-3' tao sr to t-* + to cp o o o to 01 __H- to 33 33 3 *3 ^ oi h, o a it *3 3 H- H- o OO >3 to to 3 0q W cl z+r H h p. tcoa to 3 3* to *3 to \ >to O- r-rtorf *3 r EQL. z O3 Wo fstr 1 to 3 3 I fHt- (3t" O to co = g so to on a3 3 << to w v3-<3* DU 039019 SESCUmOXS or STANDARD ULSIOOfUTBS DESCRIWIOIS or STANDARD RADIOGRAPHS (continued) rrureac UDinunt sxcvtm 3/3i */e i/i r/r 2/21 p/p 3/51 p/p vu / 2/2; / SHALL OPACITIES g* 8 fi 61 | 5 B PUURAL 7SICHHW5 CHEST WALL a ia5 II *&< cag i o H5 5 i y 5 Sis 5 il as. i!3 SYMBOLS cowsm 2 5/5 h/ t t Ho No " No No Pi- Quality Oof veto: poor dofialtioa of plouf* and cut boaal angloo. /V 2 i/i p/p L 8* No 'M l Tpn 1 2 2/2 r/p B l No No 7z No No Too No l Ud NO No No No Nooo Quality dofoct: ouB.-oet aoToooat. Pvofuoioa of aoall opaeitiao la aoro oantod u r gnt lun* . Nooo Quality dofteta; radiojrapfi too ll(Nt aod eootraot too hiftv, Tbo boart aNado n aligntly duplacod to the loft. 1 3/3 r/r R l No NO / / // No No No No a*; IN. Nooo 2 1/1 /t R t No No / / 'V No No No 2 2/2 - 8 L No No ! No No No | /U i ______L No No U. Quality dofoct. jut basca. Korloy Uaoo U loer ri?Nt iooo, Quality dofoct duatortiop of baaoa duo to Cov'.yaooo l uppor tort*. 6908P60 dHQ DU 039020 DSSCRimOKS or STAXDAXD RAOIOOUPRS (contiautd) skill aricim* 1990 STAMQOD umocuum SKOWIMO i' B it 3 | , PLBJRAL TKICXBrms CRST WALL B Mc jii 91 Is* | 25 I | S.ll s si S3 f COWfWTS 3/31 / 3/3 /. 1L [7 Mo Mo Too Ho tL EH Width: I totoat: ' 3-3 Mo Mo ho| U; polity doToet: radiograph lo too Ml- llfht. Moooyeo* lose appearance lo oet rafted. Vi t/t Ceotephrooic 4HglO obliteration Vi t/t Mo Mo Too Ho Too l I L EH Too KL EH Hooo Thio radiograph defiaeo tho lover llttt for cootophronie angle obliteration. Roto ehrlnxoge lo lovor lung floldo. / Width: 1 , o' Extoot: 2 1 Extent: : 2. 2: 4* 0 2/2; t/t i 2/2 t/t L IU Me Too Ho l Ho Ho Ih. Flouml thiefcenwg io prootot is tho oplcoo of tho lung. 1 / / EH / / Width: ' o' o' Extent; 'l l; 3/31 t/t 3/3 t/t L Ho H# // / Ho Ho Ho Ho Hi'S hot Hooo id: lh{ th. Utlo eoapoaite radiograph illuotrotoo tho td>cato(gr*.oo of profuaton of oil epocitioo claaatfinble for ohapo and alto u u/u. 2 2/2 p/t P L A / 4 / Ho Ho Ho psallty dofocto: rediogroDn u too Light ood pleural definition ;e poor. DESCRimottS or StAMUAJUJ RADIOGRAPHS (continued) SKILL OPACITIES 190 STAHOAXO IADICGIAPKS SHOWING u5 II i 1 3 1 H PLEURAL TWCXBflRC CHET WALL B sS- li 8s| cat i S 25 | 1J lii 1 V2t t/t R L B No Ho Ho Mo // / 4/ s p sE ?i Ho STWOLS loracs ox; eo. Definition of pleura .s slightly lnporfoct. ' C 2/1 V* * L C Ho No Ho Ho Ho ho; di; Tho oooll opacities Jt difficult to clraoify because of the prooooco of / ] hi; lh'. tho large opacittea. lotc the loft As coatophrem: angle j;I:torsttoo. Thla ia oot class.f;a:lt !:* it jlL doflaed by the standard radiograph 1/1; t/t. Plourol thickento* (clrcu*oerlbed- Plourol thicaoaing (dlffuao) thlCKOMBg (ealeitl- eotiae) diaphragm Plourol thirkenir.g UolClfl. cetloe Too Re Ho Ho Ho The pleural present fee* ' on. to of isdterr:-a:e ,dtn, and extant 2. " Too Ho No Too ' The pleural :-it*er;Bj present in profile, is sf evath a, ard extent 2V Hot osoo isteo s-iell :al:if::ations, Hn " Too HO thiexoRipg of ex'tst }, Too ' ' He 02.08P60 dna DU 039021 Prepared by H. B ohlig and R. K iv ilu o to . 0*3 *-3 ef O *3 sr 3V 0< pa w mo. Pq-. >3 <* 9 a *i *1 O 9 t" a9 H- 9 hO * R fCt H01 'Ofto3 *1 1 9 M* H- * 13 n 9 ET H*l o o|h- o j s a m O*-* 9) i *o et S3 OO er ST *3 X c+ 9 9 c+ Q, M cPr h, 3 ^jyggggy 1.2.08^60 ana DU 039022 to ~ v to to O 'o o o3 3o 3 X X rea o o < 0 L-^r eg eg re s Ci cr CD e ^iG L3 CD X S? r&> z3? eE m EE jE? .' * . S' EG s =r CL o G ^G 3" EG --> -n OD a u> IyD ft 3 CE EE EG EG r^> EG ee cr EG r'G* "1 X , jnii) "3. EG 0 oo Cl 1 * 1^^ 9T ^5!E5? EG 2? E3 rG? EE 1 ZI08V60 dna DU 039023 mpou ha twnSKfcTmukt. cussincinc* or Krt>icrjt*?s$ <r rt nur*y,-*i<xzr \**UX ^ DtWTA .! C7 IC.TW ffc ON t ezo8^6o dna DU 039024 amas i CD I frzoswo dna DU 039025 I > UNITED STATES PUBLIC HEALTH SERVICE MODIFICATION OF THE INTERNATIONAL LABOUR ORGANIZATION \ RADIOLOGIC CLASSIFICATION OF THE PNEUMOCONIOSES TYPE OF OPACITY FILM QUALITY NO PNEUMO CONIOSIS SUSPECT PNEUMOCONIOSIS SMALL OPACITIES LARGE OPACITIES* QUANTITATIVE FEATURES QUALITATIVE FEATURES ADDITIONAL SYMBOLS FILM QUALITY NO PNEUMO CONIOSIS SUSPECT OPACITIES SMALL OPACITIES 2 <r O O p:q q.rj piq 0. di hi pl P* UNSATISFACTORY FILM - IMPOSSIBLE TO READ POOR FILM-DETAILED CLASSIFICATION DIFFICULT tb I tbal nf! np^ O-NO RADIOGRAPHIC EVIDENCE OF PNEUMOCONIOSIS IN LUNG FIELDS. 7 SHADOWS WHICH MAY BE PNEUMOCONIOTIC BUT WHICH ARE INSUFFICIENT FOR TH L ~ FILM TO BE PLACED IN ONE OF THE CATEGORIES CLASSIFYING THE SMALL OPACITIES. PNEUMOCONIOSIS THE CATEGORIZATION OEAENOS ON THE EXTENT ANO ARoruSION OF THE OPACITIES . I A NUMtEA Or OAACITIES IRAN AREA EQUIVALENT TO 1 AT LEAST THE SECOND AND THIRO ANTERIOR RIR sraces or EITHER SIDE .ANO AT THE host.not CMC Are It THAN ONE THIAO or TMC Two LUNG FIELDS COMBINED 2 OPACITIES MORE DIFFUSE THAN IN CATEGORY 1 - WHICH MAY SC 01STRISUTE0 OVER THE WHOLE OR NEARLY THE WHOLE Of THE LUNG FIELOS O VERY NUMEROUS OPACITIES OISTPIIUTED OVER THE ^ WHOLE OR NEARLT THE WHOLE OF THE LUNG FIELDS. THESE ARC CLASSIFIED ACCORDING TO THE GREATEST oiamcter or the predominant opacities ano OENOTEO SY THE FOLLOWING SYMBOLS 0 LARGE OPACITIES EGGSHELL [CALCIFICATIONS (ES) ; A - AN OPACITY having A GREATEST OIAMCTER EXCEEDING I c* ANO UP TO ANO INCLUOING S cm OR SEVERAL OPACITIES EACH GREATER THAN t cm .THE SUM OF WHOSE GREATEST DIAMETERS OOES NOT CXCCCO S cm. - ONE OR MORE OPACITIES LARGER OR MORE NUMEROUS THAN THOSE IN CATEGORY A WHOSE COMtINED AREA OOES NOT EXCECO ONE THIRD OF THE VtSISLC RIGHT LUNG C-ONC OR MORE OPACITIES WHOSE COMSiNCD AREA EXCECOS ONE THIRO OF THE VISIRLC RIGHT LUNG FICLO SPECIFIC CRITERIA FOR IDENTIFYING EGGSHELL CALCIFICATIONS AS CVIOCNCE OF SILICOSIS III THE PRESENCE OF SHELL-LIKE CALCIFICATIONS MEASURING UP TO 2 mm. IN THICKNESS IN THE PERIPHERAL ZONE OF AT LEAST TWO LYMPH NOOES (2) THESE CALCIFICATIONS MAY IE SOUO OR SROKEN IS) IN AT LEAST ONE OF THE LYMPH NOOES THE RtNG-LIKC SHADOW MUST SC COMPLETE 14) THE CENTRAL PORTION OF THE LYMPH NOOC MAY SHOW. IN ADDITION, SPECKLED CALCIFICATION. 15) THE AFFECTED LYMPH NOOC MUST IE AT LEAST I IN ITS GREATEST OlAMETER CODE FOR ADDITIONAL SYMBOLS s* - SUSPECT COALESCENCE OF SMALL PNEUMOCONIOTIC OPACITIES - SUSPECT CANCER OF THE LUNG n - CALCIFICATION IN SMALL OPACITIES t. - ABNORMALITIES OF THE CAROIAC OUTLINE. TO BE RE PLACED BY "cp-cpr MlaAplc IF THIS CONDITION IS STRONGLY SUSPECTED c - CAVITY _ 4. - SIGNIFICANT DISPLACEMENT OR DISTORTION OF THE INTRA-THORACIC ORGANS -EMPHYSEMA _ a - EGGSHELL CALCIFICATION OF LYMPH NODES M -APPRECIABLE ENLARGEMENT OF THE HILAR SHADOWS pi - ABNORMALITY OF THE PLEURA p*-PNEUMOTHORAX rl - PNEUMOCONIOSIS MODIFIED BY THE RHEUMATOID PROCESS tb -OPACITIES SUGGESTIVE OF INACTIVE TUBERCULOSIS. EXCLUDING THE CALCIFIEO PRIMARY COMPLEX M-0PAC1T1ES SUGGESTIVE OF ACTIVE TUBERCULOSIS At - NON - TUBERCULOUS INFECTION np - PROBABLY NOT PNEUMOCONIOSIS ! THE BACKGROUND OF SMALL OPACITIES SHOULD BE SPECIFIED AS FAR AS POSSIBLE. CATEGORY CATEGORY 8 CATEGORY C RAOIOLOGICAL APPEARANCE VISUALIZED APPEARANCE DUP 0948075 3 Figure 1 Medical Radiography and Photography * Volume 44, Sumber l. I 76.f 19 DU 039026 1