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 presents the fundamental wisdom had to interpret chest radiographs and CT scans. This version contains approximately 800 new photos received with state of the art know-how and a brand new bankruptcy on cardiac imaging.
A new styles of lung illness part offers a one-stop consultant to spotting and realizing findings noticeable on thin-section CT. This variation additionally comprises the recent type of idiopathic interstitial pneumonias, present recommendations for comparing solitary pulmonary nodules, an set of rules for coping with incidental nodules obvious on chest CT, the hot international healthiness association class of lung tumors, and diverse new circumstances within the self-assessment chapter.
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Additional info for Chest Radiology: The Essentials
B: Lateral view shows an opacity over the heart (arrows), confirming the lingular location of the pneumonia. SPLIT PLEURA SIGN SPINE SIGN Normally, the thin visceral and parietal pleura cannot be distinguished as two separate structures on CT scanning. With an exudative pleural effusion, such as empyema (Fig. 2-20), the fluid separates or “splits” the thickened and enhancing pleural layers (18). Lower lobe pneumonia may be poorly visualized on a posteroanterior (PA) chest radiograph. In such cases, the lateral view is often helpful when it shows the spine sign, which is an interruption in the progressive increase in lucency of the vertebral bodies from superior to inferior (Fig.
Cls Printer: Maple Press April 18, 2007 Chest Radiology B A D C FIGURE 3-2. Kerley lines. This patient presented with cardiogenic edema. A: PA chest radiograph shows an enlarged cardiac silhouette and bilateral reticular and linear ILD. B: Close-up view of (A), lower right lung, shows short linear opacities perpendicular to the lateral pleural edge, representing Kerley B lines. C: Close-up of (A), right upper lung, shows linear opacities (arrow) radiating outward from the hila, representing Kerley A lines.
Anteroposterior (AP) supine chest radiograph shows bilateral pneumothoraces (intrapleural air) as a result of barotrauma from mechanical ventilation. On the right, the visceral pleura is separated from the parietal pleura by intrapleural air along the apicolateral chest wall (larger arrows). On the left, the intrapleural air is collecting at the lung base, expanding the costophrenic sulcus (smaller arrows). The stiff lungs do not collapse completely in this patient with acute respiratory distress syndrome.