Chest Radiology: The Essentials by Jannette Collins MD MEd, Eric J. Stern MD

By Jannette Collins MD MEd, Eric J. Stern MD

Revised to mirror the present cardiothoracic radiology curriculum for diagnostic radiology residency, this concise textual content offers the basic wisdom had to interpret chest radiographs and CT scans. This version contains approximately 800 new photos acquired with cutting-edge know-how and a brand new bankruptcy on cardiac imaging.

A new styles of lung illness part presents a one-stop advisor to spotting and knowing findings visible on thin-section CT. This variation additionally comprises the hot type of idiopathic interstitial pneumonias, present thoughts for comparing solitary pulmonary nodules, an set of rules for dealing with incidental nodules obvious on chest CT, the recent international well-being association category of lung tumors, and diverse new circumstances within the self-assessment chapter.

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Sample text

Tree-in-bud pattern. CT scan of a patient with cystic fibrosis shows bilateral bronchiectasis and bronchiolectasis, along with “tree-in-bud” opacities in the periphery of the right lung (arrow). The opacities represent mucoid impaction of the bronchioles. FIGURE 2-40. Tree-in-bud pattern. CT scan of a patient with diffuse panbronchiolitis shows tree-in-bud pattern (solid arrow) and dilated, nonimpacted bronchioles (dashed arrows). dilatation and (b) impaction of bronchioles with mucus, pus, or other material.

GGO is a common but nonspecific finding on CT that reflects the presence of abnormalities below the limit of CT resolution (Table 2-1). In one investigation of patients with chronic infiltrative lung disease in whom lung biopsy was performed in areas of GGO, the pattern was shown to be caused by predominantly interstitial diseases in 54% of cases, equal involvement of the interstitium and airspaces in 32%, and predominantly airspace disease in 14% (25). GGO is an important finding. In certain clinical circumstances, it can suggest a specific diagnosis, indicate a potentially treatable disease, and guide a bronchoscopist or surgeon to an appropriate area for biopsy (26).

Ground-glass opacity at CT: the ABCs. Am J Roentgenol. 1997;169:355–367. Stern EJ, Webb WR. Dynamic imaging of lung morphology with ultrafast high-resolution computed tomography. J Thorac Imag. 1993;8:273–282. Collins J, Blankenbaker D, Stern EJ. CT patterns of bronchiolar disease: what is “tree-in-bud”? Am J Roentgenol. 1998;171:365–370. Aquino SL, Gamsu G, Webb WR, Kee ST. Tree-in-bud pattern: frequency and significance on thin section CT. J Comput Assist Tomogr. 1996;20:594–599. Twining E, Kerley P.

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