The abnormality is on the lateral chest X-ray: What does the frontal chest radiograph look like?
|
|
- Kristin Lynch
- 7 years ago
- Views:
Transcription
1 The abnormality is on the lateral chest X-ray: What does the frontal chest radiograph look like? Poster No.: C-216 Congress: ECR 2009 Type: Educational Exhibit Topic: Chest Authors: D. Y. F. Chung, R. R. Misra ; Oxford/UK, High Wycombe/UK Keywords: patient dosimetry, Chest radiology, Lateral chest radigraph DOI: /ecr2009/C Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations. References to any names, marks, products, or services of third parties or hypertext links to thirdparty sites or information are provided solely as a convenience to you and do not in any way constitute or imply ECR's endorsement, sponsorship or recommendation of the third party, information, product or service. ECR is not responsible for the content of these pages and does not make any representations regarding the content or accuracy of material in this file. As per copyright regulations, any unauthorised use of the material or parts thereof as well as commercial reproduction or multiple distribution by any traditional or electronically based reproduction/publication method ist strictly prohibited. You agree to defend, indemnify, and hold ECR harmless from and against any and all claims, damages, costs, and expenses, including attorneys' fees, arising from or related to your use of these pages. Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. Page 1 of 47
2 Learning objectives To present a pictorial review of 'abnormalities' present on a lateral chest xray (CXR), asking the question, 'What does the abnormality look like on the frontal radiograph?'. This is to emphasize the importance of the lateral view in problem solving without having to automatically recourse to CT, thereby minimising patient dose wherever possible. Background The frontal CXR is an extremely commonly requested investigation. By comparison, requests for lateral CXR's are in decline. The reasons can only be surmised, but rapid access to CT, for a 'CXR abnormality', is likely the main driving factor. We have a duty of care to minimize patient doses wherever possible, and the Ionizing Radiation Regulations (UK) and media attention have made patients' acutely aware of this. We present many examples where CT may be avoided, if a lateral view is initially considered. Imaging findings OR Procedure details Firstly we review the normal radiological anatomy of the lateral CXR. We then review several 'abnormal' lateral views, asking the question 'what does the abnormality look like on the frontal view?'. Finally we review the corresponding frontal CXR for each case, highlighting the lateral view appearances, thereby demonstrating why diagnostic CT may be avoided. Radiological Anatomy The normal radiological anatomy of the lateral CXR will be reviewed as follows: Lobar and pleural anatomy Central hilar stuctures Assessment of diaphragms Assessment of normal parenchymal density Page 2 of 47
3 5. Mediastinal compartments Fig.: a. Diagram showing the frontal view of a chest radiograph. Fissures formed by parietal and visceral pleural coming together; these separate out the individual lobes of the lungs.b. Right lateral view showing a horizontal fissure (HF) in the right lung, in addition to an oblique fissure (OF). The upper lobe sits above the horizontal fissure, the lower lobe below the oblique fissure and the middle lobe between the two.c. Left lateral view demonstrating the oblique fissure (OF) separating the upper lobe and lower lobes. Page 3 of 47
4 Fig. Page 4 of 47
5 Fig.: Right lateral chest radiograph demonstrating the outlines of the diaphragms.red line denotes the right hemidiaphragm which extends from the posterior to the anterior chest wall and lies more superior to the left hemidiaphragm (orange line).orange line denotes the left hemidiaphragm which extends from the posterior chest wall and stops at the posterior heart border. Air is seen within the stomach fundus projected inferior to this. Page 5 of 47
6 Fig.: Right lateral chest radiograph demonstrating the normal reduced density as one progress from the superior to the inferior part of the posterior mediastinum. The retrosternal and the retrocardiac space should be of similar density as demonstrated on this chest radiograph. Page 6 of 47
7 Fig.: Right lateral chest radiograph with the three mediastinal compartments outlined. It is useful to consider the various structures contained within these thereby helping to diagnose the abnormality.anterior mediastinum: anterior to the pericardium and trachea.middle mediastinum: between the anterior and posterior mediastinum.posterior mediastinum: posterior to the pericardial surface. Case Review Section Page 7 of 47
8 Page 8 of 47
9 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Fig.: The oesophagus is dilated throughout its length and of increased density due to contained debris. Additional soft tissue shadow can be seen adjacent to the right mediastinal contour on the frontal view which mimics a soft tissue mass. Note also the absence of gastric bubble. Diagnosis: Achalasia Page 9 of 47
10 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 10 of 47
11 Fig.: There is linear opacity within the retrocardiac space with effacement of the posterior aspect of the left hemidiaphragm. This results in increased density as compared to the retrosternal air space.corresponding linear opacity can be seen in the left lower zone on the frontal view. Diagnosis: Left basal atelectasis Page 11 of 47
12 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 12 of 47
13 Fig.: Homogenous soft tissue density mass is seen herniating through the posterior aspect of the right hemidiaphragm. An apparent mass can be seen at the right lung base on the frontal projection. This would often warrant further investigation with CT; however the features described (indicated by the arrows on the lateral chest radiograph) are consistent with a Bochdalek hernia (15% occurs on the right), a benign finding. Diagnosis: Bochdalek hernia Page 13 of 47
14 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 14 of 47
15 Fig.: Multiple rounded homogenous soft density lesions seen throughout the lungs.density of the posterior mediastinum does not progressively reduce inferiorly. Increased density is also seen within the retrosternal space.corresponding multiple rounded soft tissue opacities within both lungs on the frontal view. The appearance is consistent with multiple parenchymal masses. Diagnosis: Cannon ball metastasis Page 15 of 47
16 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 16 of 47
17 Fig.: Right lateral projection demonstrates a rounded opacity projected over several thoracic vertebralbodies. The opacity has central lucent area consistent with cavitation, and lies inferior to theoblique fissure. The appearances are consistent with a cavitating mass within the right lower lobe.this can be seen on the frontal projection in the right lower zone adjacent to a crisp right heartborder i.e. the mass does not involve the middle lobe. This correlates with the lateral projectionwhere the mass lies in the lower posterior mediastinum within the lower lobe. Despite confirmingthe location of the mass, further investigation would still be warranted in this case. Diagnosis: Cavitating mass Page 17 of 47
18 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 18 of 47
19 Fig.: Increase AP diameter of the chest with an increase in the retro-sternal airspace causing a 'barrel-shaped' appearance. The frontal projection demonstrates hyperinflation of the lungs with flattening of the diaphragms, and correlates with the findings on the lateral projection. Diagnosis: Chronic obstructive pulmonary disease Page 19 of 47
20 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 20 of 47
21 Fig.: Dense opacity seen lying superior to the oblique and horizontal fissure. Corresponding homogenous dense opacity within the right upper zone seen on the frontal projection. This correlates with features on the lateral projection. Diagnosis: Right upper lobe collapse Page 21 of 47
22 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 22 of 47
23 Fig.: There is increase opacification in the anterior mediastinum and the retro-sternal space. The oblique fissure lies in a more vertical and anterior position. On the frontal view, increased opacification is seen in the left lung, especially the upper zone, with a veiling density below. Appearances are consistent with left upper lobe collapse. The anteriorly displaced oblique fissure (yellow line) results from volume loss from the collapsed upper lobe and compensatory hyperexpansion of the left lower lobe (asterix). Diagnosis: Left upper lobe collapse Page 23 of 47
24 Page 24 of 47
25 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Fig.: There is increase opacification anterior to the oblique fissure on this right lateral projection. Dense opacification involves most of the left hemithorax obscuring the left heart border but not the left hemidiaphragm. This correlates with the finding on the lateral projection and the features are consistent with left upper lobe consolidation. The oblique fissure in this case is not displaced as seen in the case of collapse as there is no loss of volume from the consolidation. Diagnosis: Left upper lobe consolidation Page 25 of 47
26 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 26 of 47
27 Fig.: Dense opacification lies between the oblique and horizontal fissures. Dense opacification is seen in the right mid zone on the frontal projection which abuts the horizontal fissure and obscure the right heart border. Diagnosis: Right middle lobe consolidation Page 27 of 47
28 Page 28 of 47
29 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Fig.: Progressive increased density is seen within the inferior aspect of the posterior mediastinum, towards the right base. The density of the retrocardiac space should be similar to retrosternal space. On the frontal view, patchy opacification is seen in the right lower zone with preservation of the right heart border and, in this case, the right hemidiaphragm. This correlates with the features on the lateral projection and is consistent with right lower lobe consolidation. Diagnosis: Right lower lobe consolidation Page 29 of 47
30 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 30 of 47
31 Fig.: The right hemidiaphragm is clearly visible from the anterior to posterior chest wall. The anterior aspect is markedly elevated. Corresponding elevation of the right hemidiaphragm is seen on the frontal projection which could be mistaken for a mass in the right lower zone. However the lateral view confirms this as a diaphragmatic contour abnormality. Diagnosis: Elevated hemidiaphragm Page 31 of 47
32 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 32 of 47
33 Fig.: An air-fluid level can be seen in the middle mediastinum (arrows). There is the suggestion of a retrocardiac mass on the frontal projection which may be a hiatus hernia or a cavitating mass. However the lateral projection confirms the presence of a hiatus hernia. Diagnosis: Hiatus hernia Page 33 of 47
34 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 34 of 47
35 Fig.: There is a round density projected over the retrocardiac space on the lateral view. The frontal projection demonstrates the presence of a mass within in the right lower zone, which could be interpreted as parenchymal or extra parenchymal in nature. However the lateral projection confirms that the lesion is within the lung parenchyma and provides justification for further investigation with CT. Diagnosis: Right lower zone mass Page 35 of 47
36 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 36 of 47
37 Fig.: Increased density is seen within the subcutaneous soft tissue of the anterior chest wall. Rounded opacity with well defined edges is seen in the right lower zone, not abutting the horizontal fissure or the right heart border. A pulmonary nodule could be suspected, but on the lateral view, the density is seen within soft tissue and is consistent with a nipple shadow and further imaging is not required. Diagnosis: Nipple shadow Page 37 of 47
38 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 38 of 47
39 Fig.: A large confluent mass, with a well defined superior and inferior margin, is seen obscuring the cardiac density on the lateral view. On the frontal view a sharply marginated mass lesion is seen extending towards the right costo-phrenic angle, and is inseparable from the right heart border. This could be mistaken for a parenchymal soft tissue mass. However the lateral view confirms this as pericardial in origin. Diagnosis: Pericardial cyst Page 39 of 47
40 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 40 of 47
41 Fig.: The arch and descending aorta are tortuous, with a focal saccular projection seen arising from the proximal descending aorta on the lateral view. On the frontal view a soft tissue density mass is seen in the region of the left hilum. The exact nature of this mass may require further imaging, if a carcinoma is suspected. However the lateral projection confirms this to be aortic in origin. Diagnosis: Thoracic aortic aneurysm Page 41 of 47
42 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 42 of 47
43 Fig.: Large volume soft tissue opacification is projected over the left hilar area on the lateral projection. Corresponding left mid zone consolidation seen on the lateral view. Diagnosis: Left mid zone consolidation Page 43 of 47
44 Fig.: What are the radiological features and what does the abnormality look like on the frontal radiograph? Page 44 of 47
45 Fig.: Deformity of the sternum, with reduction in the AP diameter of the thorax, is seen on the lateral view. On the frontal view this correlates with the posterior ribs adopting a more horizontal position, and the anterior ribs a more vertical position than usual; the so called 'seven, reverse seven' orientation. The deformity causes displacement of the mediastinum to the left, creating the false impression of right middle lobe pathology. Diagnosis: Pectus excavatum Images for this section: Page 45 of 47
46 Fig. 1: a. Diagram showing the frontal view of a chest radiograph. Fissures formed by parietal and visceral pleural coming together; these separate out the individual lobes of the lungs.b. Right lateral view showing a horizontal fissure (HF) in the right lung, in addition to an oblique fissure (OF). The upper lobe sits above the horizontal fissure, the lower lobe below the oblique fissure and the middle lobe between the two.c. Left lateral view demonstrating the oblique fissure (OF) separating the upper lobe and lower lobes. Page 46 of 47
47 Conclusion This review should help the viewers reacquaint themselves with the clinical usefulness of the lateral CXR, and to appreciate its value in dealing with an 'abnormal' frontal radiograph, thus avoiding unnecessary CT radiation exposure. Conversely, the lateral CXR can also be used to provide further justification for radiation exposure when CT imaging is being considered. Personal Information References Page 47 of 47
CT findings in Differential Diagnosis between Tuberculous Pleurisy and Malignant Effusion
CT findings in Differential Diagnosis between Tuberculous Pleurisy and Malignant Effusion Poster No.: E-0084 Congress: ESTI 2012 Type: Scientific Exhibit Authors: S. S. Shim, Y. Kim; Seoul/KR Keywords:
More informationPatterns of nodal spread in thoracic malignancies
Patterns of nodal spread in thoracic malignancies Poster No.: C-0977 Congress: ECR 2010 Type: Educational Exhibit Topic: Chest Authors: R. dos Santos, M. Duarte, J. Alpendre, J. Castaño, Z. Seabra, Â.
More informationAdministrative. Patient name Date compare with previous Position markers R-L, upright, supine Technical quality
CHEST X-RAY Administrative Patient name Date compare with previous Position markers R-L, upright, supine Technical quality AP or PA ( with x-ray beam entering from back of patient, taken at 6 feet) Good
More informationChest X-ray STUDY GUIDE 2014-2015
Internal Medicine Clerkship Chest X-ray STUDY GUIDE 2014-2015 10 Steps/ABC s for Reading Chest X-Rays & Table of Contents to be used with CXR CD-ROM #1 10 Steps / ABC s for Reading Chest X-Rays 0 Normal
More informationPancreatic masses: What is there besides cancer
Pancreatic masses: What is there besides cancer Poster No.: C-0201 Congress: ECR 2010 Type: Educational Exhibit Topic: Abdominal Viscera (Solid Organs) Authors: M. A. Portilha, C. Ruivo, I. Santiago, M.
More informationOA related pain medication intake in subjects from the OAI incidence cohort - association with focal knee lesions and cartilage T2 measurements
OA related pain medication intake in subjects from the OAI incidence cohort - association with focal knee lesions and cartilage T2 measurements Poster No.: C-0007 Congress: ECR 2012 Type: Scientific Exhibit
More informationUtilization management for successful process optimization in radiology
Utilization management for successful process optimization in radiology Poster No.: C-0737 Congress: ECR 2011 Type: Scientific Paper Authors: H.-P. Busch 1, W. Frewer 1, A. van Est 2 ; 1 Trier/DE, 2 Eindhoven/NL
More informationComparison of radiation dose from X-ray, CT, and PET/ CT in paediatric patients with neuroblastoma using a dose monitoring program
Comparison of radiation dose from X-ray, CT, and PET/ CT in paediatric patients with neuroblastoma using a dose monitoring program Poster No.: C-0591 Congress: ECR 2015 Type: Authors: Keywords: DOI: Scientific
More informationEye lens dose measurements in Interventional Cardiology
Eye lens dose measurements in Interventional Cardiology Poster No.: 479 Congress: ESCR 2014 Type: Scientific Poster Authors: N. Kollaros 1, E. Carinou 2, C. Plemmenos 1, I. Stathopoulos 1, V. Keywords:
More informationNeedle crystal detector technology in mammography further dose reduction and clinical image quality with
Needle crystal detector technology in mammography further dose reduction and clinical image quality with different beam qualities (W/Rh vs. Mo/Rh) Poster No.: C-1461 Congress: ECR 2013 Type: Scientific
More informationNormal vascular variants of the upper extremity
Normal vascular variants of the upper extremity Poster No.: C-1039 Congress: ECR 2014 Type: Educational Exhibit Authors: P. Paixao, A. P. Gomes, M. S. C. Sousa, I. Santiago, A. S. C. C. Germano; Amadora/PT
More informationThe silhouette sign. Dr Etienne Leroy-Terquem Centre hospitalier de Meulan les Mureaux. France French-cambodian association for pneumology (OFCP)
The silhouette sign Dr Etienne Leroy-Terquem Centre hospitalier de Meulan les Mureaux. France French-cambodian association for pneumology (OFCP) The silhouette sign When 2 opacities of the same density
More informationAn Image Based Semiautomatic Online Cancer Staging Program for Common Female Pelvic Malignancies
An Image Based Semiautomatic Online Cancer Staging Program for Common Female Pelvic Malignancies Poster No.: C-1050 Congress: ECR 2012 Type: Educational Exhibit Authors: R. Talanow; Lexington, KY/US Keywords:
More informationAcute abdominal pain in the elderly patient: Impact of early MDCT examination on diagnosis and management
Acute abdominal pain in the elderly patient: Impact of early MDCT examination on diagnosis and management Poster No.: C-1464 Congress: ECR 2010 Type: Topic: Scientific Exhibit GI Tract Authors: A. Pinto,
More informationDetermination of bone age using MRI of hand/wrist: a pilot study
Determination of bone age using MRI of hand/wrist: a pilot study Poster No.: C-0963 Congress: ECR 2011 Type: Scientific Exhibit Authors: E. Tomei, M. Marini, A. Stagnitti, A. sartori, L. bertana, N. Al
More informationPreoperative evaluation of future remnant liver function by the contrast enhance ratio in hepatocellular image.
Preoperative evaluation of future remnant liver function by the contrast enhance ratio in hepatocellular image. Poster No.: C-0564 Congress: ECR 2011 Type: Scientific Exhibit Authors: S. Matsushima, Y.
More informationMRI scanning of the claustrophobic patients
MRI scanning of the claustrophobic patients Poster No.: C-0549 Congress: ECR 2014 Type: Educational Exhibit Authors: M. minov, A. Doreski, M. Popovska, G. Markoski, S. 1 2 3 2 2 1 2 2 3 Jovanoska, I. miladinovski
More informationDICOM metadata-mining in PACS for computed radiography X-Ray exposure analysis: a mammography multisite study
DICOM metadata-mining in PACS for computed radiography X-Ray exposure analysis: a mammography multisite study Poster No.: B-0276 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Paper M. R.
More informationDevelopment and implementation of a help desk system in a radiology department in a high complexity hospital: a South American experience
Development and implementation of a help desk system in a radiology department in a high complexity hospital: a South American experience Poster No.: C-2409 Congress: ECR 2013 Type: Authors: Keywords:
More informationObjectives. Mylene T. Truong, MD. Malignant Pleural Mesothelioma Background
Imaging of Pleural Tumors Mylene T. Truong, MD Imaging of Pleural Tumours Mylene T. Truong, M. D. University of Texas M.D. Anderson Cancer Center, Houston, TX Objectives To review tumors involving the
More informationPulmonary Patterns VMA 976
Pulmonary Patterns VMA 976 PULMONARY PATTERNS Which pulmonary patterns are commonly described in veterinary medicine? PULMONARY PATTERNS Normal Alveolar Interstitial Structured/Nodular Unstructured Bronchial
More informationThe WHO manual of diagnostic imaging. Radiographic Anatomy and Interpretation of the chest and the pulmonary System
The WHO manual of diagnostic imaging Radiographic Anatomy and Interpretation of the chest and the pulmonary System The WHO manual of diagnostic imaging Radiographic Anatomy and Interpretation of the Chest
More informationPictorial Review of Tuberculosis involving the Pleura.
Pictorial Review of Tuberculosis involving the Pleura. Poster No.: C-0207 Congress: ECR 2011 Type: Educational Exhibit Authors: S. H. Hwang; Mokpo/KR Keywords: Thorax, Thoracic wall, CT, Ultrasound, Conventional
More informationDiffuse infiltration in multiple myeloma treatment response assessment with "total-spine" contrast enhanced MR imaging
Diffuse infiltration in multiple myeloma treatment response assessment with "total-spine" contrast enhanced MR imaging Poster No.: C-0276 Congress: ECR 2011 Type: Scientific Paper Authors: P. P. Arcuri,
More informationChapter 2 Cardiac Interpretation of Pediatric Chest X-Ray
Chapter 2 Cardiac Interpretation of Pediatric Chest X-Ray Ra-id Abdulla and Douglas M. Luxenberg Key Facts The cardiac silhouette occupies 50 55% of the chest width on an anterior posterior chest X-ray
More informationRadiation-Induced Lung Injury
May 2001 Radiation-Induced Lung Injury Warren Phipps, Harvard Medical School Year III Our Patient D.C. is a 50 year-old woman with a 30-pack year history of smoking who presented to the ED because she
More informationThe abnormal chest X-ray when to refer to a specialis t
The abnormal chest X-ray when to refer to a specialis t An abnormal chest X-ray must be followed up. OLGA MZILENI, MB ChB, MMed (Int Med) Professor and Head of Internal Medicine and Pulmonology, University
More informationMetastatic malignant melanoma revisited
Metastatic malignant melanoma revisited Poster No.: C-2446 Congress: ECR 2010 Type: Educational Exhibit Topic: Musculoskeletal Authors: C. Paulino, B. Gonçalves, P. Marques, M. Gonçalo, F. CaseiroAlves;
More informationNORMAL CHEST RADIOGRAPHY. Front and lateral view
NORMAL CHEST RADIOGRAPHY Front and lateral view Dr Etienne Leroy-Terquem Centre hospitalier de Meulan les Mureaux. France French-cambodian association for pneumology (OFCP) OFCP How to obtain a good quality
More informationMR imaging of primary sclerosing cholangitis (PSC) using the hepatobiliary specific contrast agent Gd-EOB-DTPA
MR imaging of primary sclerosing cholangitis (PSC) using the hepatobiliary specific contrast agent Gd-EOB-DTPA Poster No.: C-0019 Congress: ECR 2010 Type: Educational Exhibit Topic: Abdominal Viscera (Solid
More informationWelcome to Anatomy & Physiology
Welcome to Anatomy & Physiology Chapter 1 -Human Organization What do you need to do to pass this class? MEMORIZE! The Scope of Human Anatomy Human anatomy is the study of the structure of the human body.
More informationRole of 3D volumetry CT in the correlation between postoperative gastric volume and weight loss in obese patients undergoing gastric sleeve surgery.
Role of 3D volumetry CT in the correlation between postoperative gastric volume and weight loss in obese patients undergoing gastric sleeve surgery. Poster No.: C-2145 Congress: ECR 2014 Type: Scientific
More informationAn Introduction to Anatomy and Physiology
An Introduction to Anatomy and Physiology Objectives Define anatomy and physiology Identify the levels of organization in organisms from simplest to most complex Identify the organ systems of the human
More informationExtrapleural Pneumonectomy for Malignant Mesothelioma: Pro. Joon H. Lee 9/17/2012
Extrapleural Pneumonectomy for Malignant Mesothelioma: Pro Joon H. Lee 9/17/2012 Malignant Pleural Mesothelioma (Epidemiology) Incidence: 7/mil (Japan) to 40/mil (Australia) Attributed secondary to asbestos
More informationPractical class 3 THE HEART
Practical class 3 THE HEART OBJECTIVES By the time you have completed this assignment and any necessary further reading or study you should be able to:- 1. Describe the fibrous pericardium and serous pericardium,
More informationDiagnostic performance of MRI in differentiating metastatic from acute osteoporotic compression fractures of the spine
Diagnostic performance of MRI in differentiating metastatic from acute osteoporotic compression fractures of the spine Poster No.: C-1399 Congress: ECR 2013 Type: Scientific Exhibit Authors: J. Martel,
More informationCongestive Heart Failure
William Herring, M.D. 2002 Congestive Heart Failure In Slide Show mode, to advance slides, press spacebar or click left mouse button Congestive Heart Failure Causes of Coronary artery disease Hypertension
More informationMulti-slice Helical CT Scanning of the Chest
Multi-slice Helical CT Scanning of the Chest Comparison of different low-dose acquisitions Lung cancer is the main cause of deaths due to cancer in human males and the incidence is constantly increasing.
More informationMEDICAL REPORT MEDICAL HISTORY QUESTIONS
MEDICAL HISTORY QUESTIONS PAGE 1 OF 7 IF YOUR ANSWER IS YES TO ANY OF THE FOLLOWING QUESTIONS, PLEASE PROVIDE ADDITIONAL INFORMATION INCLUDING: DIAGNOSIS, DATE, AND TREATMENT (INCLUDING MEDICATIONS AND/OR
More informationCardiac Masses and Tumors
Cardiac Masses and Tumors Question: What is the diagnosis? A. Aortic valve myxoma B. Papillary fibroelastoma C. Vegetation from Infective endocarditis D. Thrombus in transit E. None of the above Answer:
More informationComparison between photoacoustic mammography images of breasts cancers and histological staining patterns of CD31 and carbonic anhydrase IX
Comparison between photoacoustic mammography images of breasts cancers and histological staining patterns of CD31 and carbonic anhydrase IX Poster No.: C-1893 Congress: ECR 2013 Type: Scientific Exhibit
More informationX-ray (Radiography) - Chest
Scan for mobile link. X-ray (Radiography) - Chest What is a Chest X-ray (Chest Radiography)? The chest x-ray is the most commonly performed diagnostic x-ray examination. A chest x-ray produces images of
More informationDifferential diagnosis of vertebral compression fracture using in-phase/opposed-phase and Short TI inversion recovery imaging
Differential diagnosis of vertebral compression fracture using in-phase/opposed-phase and Short TI inversion recovery imaging Poster No.: C-0795 Congress: ECR 2013 Type: Scientific Exhibit Authors: A.
More informationPrimary -Benign - Malignant Secondary
TUMOURS OF THE LUNG Primary -Benign - Malignant Secondary The incidence of lung cancer has been increasing almost logarithmically and is now reaching epidemic levels. The overall cure rate is very low
More informationGeneral Thoracic Surgery ICD9 to ICD10 Crosswalks. C34.11 Malignant neoplasm of upper lobe, right bronchus or lung
ICD-9 Code ICD-9 Description ICD-10 Code ICD-10 Description 150.3 Malignant neoplasm of upper third of esophagus C15.3 Malignant neoplasm of upper third of esophagus 150.4 Malignant neoplasm of middle
More informationX-ray (Radiography), Chest
X-ray (Radiography), Chest What is a Chest X-ray (Chest Radiography)? The chest x-ray is the most commonly performed diagnostic x-ray examination. A chest x-ray makes images of the heart, lungs, airways,
More informationSecond look ultrasound examination for breast lesions: MRI and pathologic correlation
Second look ultrasound examination for breast lesions: MRI and pathologic correlation Poster No.: C-0559 Congress: ECR 2015 Type: Scientific Exhibit Authors: E. Serrano Tamayo, E. López Soriano, M. Muñoz
More informationCHAPTER 1: THE LUNGS AND RESPIRATORY SYSTEM
CHAPTER 1: THE LUNGS AND RESPIRATORY SYSTEM INTRODUCTION Lung cancer affects a life-sustaining system of the body, the respiratory system. The respiratory system is responsible for one of the essential
More informationAbdomen X-Ray (AXR) Collimation is ideally from diaphragms to lower border of the symphysis pubis and the lateral skin margins.
Abdomen X-Ray (AXR) Collimation is ideally from diaphragms to lower border of the symphysis pubis and the lateral skin margins. LMP of child-bearing age female patients should be checked. 1. Acute abdomen
More informationAbdominal CT Perfusion: Effects of Breath Control Technique
Abdominal CT Perfusion: Effects of Breath Control Technique Poster No.: C-0068 Congress: ECR 2014 Type: Scientific Exhibit Authors: T. Yoshikawa, T. Kanda, Y. Ohno, Y. Fujisawa, N. Negi, M. 1 1 2 1 1 1
More informationChapter 2 - Anatomy & Physiology of the Respiratory System
Chapter 2 - Anatomy & Physiology of the Respiratory System Written by - AH Kendrick & C Newall 2.1 Introduction 2.2 Gross Anatomy of the Lungs, 2.3 Anatomy of the Thorax, 2.4 Anatomy and Histology of the
More informationSUMMARY OF S.B. 15 ASBESTOS/SILICA LITIGATION REFORM BILL
SUMMARY OF S.B. 15 ASBESTOS/SILICA LITIGATION REFORM BILL S.B. 15, the asbestos/silica litigation reform bill, distinguishes between the claims of people who are physically impaired or sick due to exposure
More informationX-ray (Radiography) - Abdomen
Scan for mobile link. X-ray (Radiography) - Abdomen Abdominal x-ray uses a very small dose of ionizing radiation to produce pictures of the inside of the abdominal cavity. It is used to evaluate the stomach,
More informationIntroduction. I. Objectives. II. Introduction. A. To become familiar with the terms of direction and location.
E X E R C I S E Introduction I. Objectives A. To become familiar with the terms of direction and location. B. To become familiar with different types of planes and sections. C. To learn the names and locations
More informationLinfoma maligno pulmonar tratado com Nerium oleander. http://www.drozel.org/eng/diagnosis_malignant_mg.htm CASE REPORT
Linfoma maligno pulmonar tratado com Nerium oleander http://www.drozel.org/eng/diagnosis_malignant_mg.htm CASE REPORT Diagnosis: Malignant lymphoma, lung cancer A 60-year-old woman experienced pain in
More informationRadiography provides a rapid, noninvasive
P ro c e d u re s P ro I M G I N G Peer Reviewed Clifford R. erry, DVM, Diplomate CVR University of Florida Interpreting Small nimal Thoracic Radiographs Radiography provides a rapid, noninvasive mechanism
More informationLow-dose CT Imaging. Edgar Fearnow, M.D. Section Chief, Computed Tomography, Lancaster General Hospital
Lung Cancer Screening with Low-dose CT Imaging Edgar Fearnow, M.D. Section Chief, Computed Tomography, Lancaster General Hospital Despite recent declines in the incidence of lung cancer related to the
More informationBochdalek hernia of adult in emergency situation
O P E N A C C E S S Case study Bochdalek hernia of adult in emergency situation Nooruldin F Shakir*, Warda Alsaad, Saad Mahi Emergency Department, Hamad General Hospital, Doha, Qatar * Email: nshakir@hmc.org.qa
More informationLung lobes and fissures: a morphological study
Original Article www.anatomy.org.tr Received: April 27, 2010; Accepted: April 18, 2011; Published online: October 24, 2011 doi:10.2399/ana.10.005 Lung lobes and s: a morphological study Ajay Ratnakarrao
More informationHEALTH CARE FOR EXPOSURE TO ASBESTOS. 2010 The SafetyNet Centre for Occupational Health and Safety Research Memorial University www.safetynet.mun.
HEALTH CARE FOR PATIENTS WITH EXPOSURE TO ASBESTOS 2010 The SafetyNet Centre for Occupational Health and Safety Research Memorial University www.safetynet.mun.ca HEALTH CARE FOR PATIENTS WITH EXPOSURE
More informationDept. of Medical Imaging University of Ottawa
ED Visits Related to Bariatric Surgery: Review of Normal Post-Surgical Anatomy as Well as Complications Dept. of Medical Imaging University of Ottawa Disclosures Background Roux-en-Y Gastric Bypass Surgery
More informationX-ray (Radiography) - Bone
Scan for mobile link. X-ray (Radiography) - Bone Bone x-ray uses a very small dose of ionizing radiation to produce pictures of any bone in the body. It is commonly used to diagnose fractured bones or
More informationAngio-CT preoperative planning of inferior limb free flaps in plastic surgery
Angio-CT preoperative planning of inferior limb free flaps in plastic surgery Poster No.: C-3046 Congress: ECR 2010 Type: Educational Exhibit Topic: Vascular Authors: L. Saba, M. Atzeni, D. Ribuffo, G.
More informationHiatal Hernia with Complications of Gastric Volvulus
QuickTime and a decompressor are needed to see this picture. QuickTime and a decompressor are needed to see this picture. Hiatal Hernia with Complications of Gastric Volvulus Josué Zapata, HMS III Gillian
More informationCystic Lung Diseases. Melissa Price Gillian Lieberman, MD Advanced Radiology Clerkship Beth Israel Deaconess Medical Center November, 2008
Cystic Lung Diseases Melissa Price Gillian Lieberman, MD Advanced Radiology Clerkship Beth Israel Deaconess Medical Center November, 2008 How do we define a cyst of the lung? Hansell DM, Bankier AA, MacMahon
More informationFocused assessment of sonography in trauma
Chapter1 Focused assessment of sonography in trauma Patricia Fermin and John Christian Fox Epicardial fat pad When imaging the heart, careful attention must be made in identifying any surrounding fluid.
More informationChest Pain. Acute Myocardial Infarction: Differential Diagnosis and Patient Management. Common complaint in ED. Wide range of etiologies
Acute Myocardial Infarction: Differential Diagnosis and Patient Management Presented By: Barbara Furry, RN-BC, MS, CCRN, FAHA Director The Center of Excellence in Education Director of HERO Chest Pain
More informationDiscussion. AJR:159, November1992 MALIGNANT PLEURAL MESOTHELIOMA 965
AJR:159, November1992 MALIGNANT PLEURAL MESOTHELIOMA 965 Fig. 7.-45-year-old woman with unresectable malignant mesothelioma. CT scan shows lobular tumor rind with direct extension into azygoesophageal
More informationUltrasound of the Thorax (Noncardiac)
Ultrasound of the Thorax (Noncardiac) Martha Moon Larson, DVM, MS KEYWORDS Ultrasound Thorax Pleural effusion Mediastinum Lung Ultrasound of the noncardiac thorax is an important supplemental imaging modality
More informationDiseases. Inflammations Non-inflammatory pleural effusions Pneumothorax Tumours
Pleura Visceral pleura covers lungs and extends into fissures Parietal pleura limits mediastinum and covers dome of diaphragm and inner aspect of chest wall. Two layers between them (pleural cavity) contains
More informationRespiratory dynamic MRI for determining aortic invasion of thoracic neoplasms
Respiratory dynamic MRI for determining aortic invasion of thoracic neoplasms Poster No.: C-0760 Congress: ECR 2013 Type: Educational Exhibit Authors: Y. J. Hong, J. Hur, H.-J. Lee, Y. J. Kim, B. W. Choi;
More information6. Histopathology of Alveoli 7. Surfactant 8. Blood supply of lungs 9. Lymphatics of Lungs 10. Nerve supply of Lungs 11. Pleura 12.
ANATOMY OF LUNGS - 1. Gross Anatomy of Lungs 2. Surfaces and Borders of Lungs 3. Hilum and Root of Lungs 4. Fissures and Lobes of Lungs 5. Bronchopulmonary segments 6. Histopathology of Alveoli 7. Surfactant
More informationQ.A. Collectible. Sponsored by CRCPD s Committee on Quality Assurance in Diagnostic X-Ray (H-7)
Q.A. Collectible Sponsored by CRCPD s Committee on Quality Assurance in Diagnostic X-Ray (H-7) Mammography Phantom Image Quality Evaluation (from the American College of Radiology 1999 Mammography Quality
More informationApril 2015 CALGARY ZONE CLINICAL REFERENCE PULMONARY CENTRAL ACCESS & TRIAGE
April 2015 CALGARY ZONE CLINICAL REFERENCE CENTRAL ACCESS & TRIAGE Introduction Pulmonary consulting services are organized through the Calgary Zone Pulmonary Central Access and Triage (PCAT). Working
More informationComputed tomographic atlas for the new international lymph node map for lung cancer: A radiation oncologist perspective
Practical Radiation Oncology (2013) 3, 54 66 www.practicalradonc.org Special Article Computed tomographic atlas for the new international lymph node map for lung cancer: A radiation oncologist perspective
More informationWORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 1894/06
WORKPLACE SAFETY AND INSURANCE APPEALS TRIBUNAL DECISION NO. 1894/06 BEFORE: R. Nairn : Vice-Chair HEARING: September 25, 2006 at Windsor Oral DATE OF DECISION: October 16, 2006 NEUTRAL CITATION: 2006
More informationPulmonary Ventilation
Pulmonary Ventilation Graphics are used with permission of: Pearson Education Inc., publishing as Benjamin Cummings (http://www.aw-bc.com) Page 1. Introduction Pulmonary ventilation, or breathing, is the
More informationBilateral pulmonary artery aneurysms in Behçet disease: review of literature and report of one case
Bilateral pulmonary artery aneurysms in Behçet disease: review of literature and report of one case Poster No.: 486 Congress: ESCR 2013 Type: Poster Presentation Authors: O. Addou, B. Alami, M. Boubbou,
More informationRACE I Rapid Assessment by Cardiac Echo. Intensive Care Training Program Radboud University Medical Centre NIjmegen
RACE I Rapid Assessment by Cardiac Echo Intensive Care Training Program Radboud University Medical Centre NIjmegen RACE Goal-directed study with specific questions Excludes Doppler ultrasound Perform 50
More informationA. function: supplies body with oxygen and removes carbon dioxide. a. O2 diffuses from air into pulmonary capillary blood
A. function: supplies body with oxygen and removes carbon dioxide 1. ventilation = movement of air into and out of lungs 2. diffusion: B. organization a. O2 diffuses from air into pulmonary capillary blood
More informationUKRC 2015 Dr Michael Sproule Glasgow
UKRC 2015 Dr Michael Sproule Glasgow Radiology of Asbestos Related Lung Disease General term given to a group of fibrous minerals containing silica and a variety of other elements. Asbestos: Derived
More informationNormal CT scan of the chest
Normal CT scan of the chest Heart with left and right ventricle showing up lighter (contrast dye) Breast tissue Breast bone (sternum) Breast tissue Left lung (dark area) Right lung (dark area) Rib Main
More informationDr. Weyrich G04: Anterior Thoracic Wall, Breast and Lymphatic System
Dr. Weyrich G04: Anterior Thoracic Wall, Breast and Lymphatic System Reading: 1. Gray s Anatomy for Students, Chapter 3 2. Dissection Guide for Human Anatomy, Lab 4 Objectives: 1. Osteocartilaginous thoracic
More informationBreast Sonography general goal. Optimizing Breast Sonography. BUS indications -- all. Breast Sonography specific goals.
Optimizing general goal Cindy Rapp BS, RDMS, FAIUM, FSDMS University of Colorado Hospital Denver, Colorado to make a more specific diagnosis than can be made with clinical and mammographic findings alone
More informationThoracic Cavity. Photo: This normal canine lung collapsed when the thorax was opened and the negative pressure was lost in the thorax.
Thoracic Cavity There are significant anatomical differences in the mediastinum of domestic animals. For instance, bovines, like humans, have well-developed mediastinal separation between the left and
More informationfor Image Scaling Enabling Digital Orthopaedics
Calibration Devices, Use & Positioning for Image Scaling Enabling Digital Orthopaedics DIGITAL IMAGE SCALING As Radiology becomes filmless. Current planning practices used by surgeons with acetate sheets
More informationCoding and Compliance:
Coding and Compliance: Bettering The Bottom Line Richard Duszak, MD, FACR, FSIR, RCC CPT Advisor, American College of Radiology Chair, ACR Committee on Coding and Nomenclature Editor-in-Chief, Clinical
More informationGUIDELINES FOR THE MANAGEMENT OF LUNG CANCER
GUIDELINES FOR THE MANAGEMENT OF LUNG CANCER BY Ali Shamseddine, MD (Coordinator); as04@aub.edu.lb Fady Geara, MD Bassem Shabb, MD Ghassan Jamaleddine, MD CLINICAL PRACTICE GUIDELINES FOR THE TREATMENT
More informationP R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal
More informationHow To Treat Lung Cancer
Case introduction 陳 先 生, 71y/0 96/10/9, Received TURP for BPH at 仁 愛 醫 院, pre-surgery CXR showed an abnormal mass over LUL. 96/10/19 TMUH, He went to Dr. 鍾 OPD for help Abnormal CXR finding Arrange chest
More informationIII. EXTENT OF DISEASE
Advanced Abstracting Lung Cancer III. EXTENT OF DISEASE Staging Systems and Documentation 1 Source: AJCC Cancer Staging Illustrations from the AJCC Cancer Staging Atlas. Springer, 2007. Used with permission.
More informationNeoplasms of the LUNG and PLEURA
Neoplasms of the LUNG and PLEURA 2015-2016 FCDS Educational Webcast Series Steven Peace, BS, CTR September 19, 2015 2015 Focus o Anatomy o SSS 2000 o MPH Rules o AJCC TNM 1 Case 1 Case Vignette HISTORY:
More informationAbnormalities Consistent with Asbestos-Related Disease Among Long-Term Demolition Workers
Abnormalities Consistent with Asbestos-Related Disease Among Long-Term Demolition Workers Stephen M. Levin, M.D. Mount Sinai School of Medicine New York, New York November 1994 The Center to Protect Workers
More informationSternotomy and removal of the tumor
Sternotomy and removal of the tumor All thymomas originate from epithelial thymic cells 4% of them consist of a pure population of epithelial cells Most have mixed populations of lymphoid cells to a
More informationSonographic Demonstration of Couinaud s Liver Segments
PICTORIL ESSY Sonographic Demonstration of Couinaud s Liver Segments Dean Smith, MD, FRCPC, Donal Downey, M, Ch, FRCPC, lison Spouge, MD, FRCPC, Sue Soney, RT, RDMS, RCMS The segmental localization of
More informationManagement of Chest Tubes and Air Leaks after Lung Resection
Management of Chest Tubes and Air Leaks after Lung Resection Emily Kluck PA-C The Johns Hopkins Hospital Baltimore, MD AATS 2014, Toronto, CAN April 2014 Management of Chest Tubes 1 Overview Review the
More informationIncidence of Incidental Thyroid Nodules on Computed Tomography (CT) Scan of the Chest Performed for Reasons Other than Thyroid Disease
International Journal of Clinical Medicine, 2011, 2, 264-268 doi:10.4236/ijcm.2011.23042 Published Online July 2011 (http://www.scirp.org/journal/ijcm) Incidence of Incidental Thyroid Nodules on Computed
More informationHow To Write Lung Cancer Data Standards For Nhs Scotland
For reference only Do Not Use For more information contact: cdsis@nhs.net Lung Cancer Pathology Data Standards June 2008 National Clinical Dataset Development Programme (NCDDP) Support Team Information
More informationSpleen. Anatomy. (Effective February 2007) (1%-5%) Normal. Related Anatomy Anterior to spleen. Medial border. Posteriorly
Spleen (Effective February 2007) (1%-5%) Anatomy Normal Intraperitoneal, except hilum Left hypochondrium Left hemidiaphragm superior generally considered to be ovoid, with a convex superior and a concave
More informationR/F. Efforts to Reduce Exposure Dose in Chest Tomosynthesis Targeting Lung Cancer Screening. 3. Utility of Chest Tomosynthesis. 1.
R/F Efforts to Reduce Exposure Dose in Chest Tomosynthesis Targeting Lung Cancer Screening Department of Radiology, National Cancer Center Hospital East Kaoru Shimizu Ms. Kaoru Shimizu 1. Introduction
More information