PRESENTATION MATERIALS. Basic Chest Radiology for the TB Clinician
|
|
|
- Lynn Dean
- 7 years ago
- Views:
Transcription
1 PRESENTATION MATERIALS Basic Chest Radiology for the TB Clinician Adapted from the ISTC TB Training Modules 2009
2 Basic Radiology for the TB Clinician Objectives: At the end of this presentation, participants will be able to: Analyze the technical quality of chest X-rays (CXRs) using simple parameters Identify basic normal CXR anatomy on both frontal and lateral views Recognize radiographic patterns of disease and describe using appropriate terminology Describe both the typical and atypical patterns of radiographic presentation for pulmonary tuberculosis ISTC TB Training Modules
3 Basic Radiology for the TB Clinician (2) Overview: Technical aspects of chest radiography Systematic approach to reading CXR Basic CXR anatomy Patterns of disease Radiographic manifestations of tuberculosis (TB) ISTC TB Training Modules
4 Chest Radiography: Basic Principles X-ray photon: Absorbed / scattered / transmitted X-ray absorption depends on: Beam energy (constant) Tissue density Maximum X-Ray Transmission (least dense tissue) Maximum X-Ray Absorption (densest tissue) ISTC TB Training Modules 2009 Blackest air fat soft tissue calcium bone X-ray contrast metal Whitest 4
5 Differential X-Ray Absorption Why we see what we see: Structures are visible on a radiograph because of the juxtaposition of two different densities creating an interface Silhouette Sign Loss of an expected interface No boundary can be seen between two structures because they now are similar in density Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 5
6 Silhouette Sign: RLL Pneumonia Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 6
7 Silhouette Sign: RLL Pneumonia Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 6
8 Assess CXR Technical Quality Inspiratory effort 9-10 posterior ribs Penetration thoracic intervertebral disc space just visible Positioning / rotation medial clavicle heads equidistant from spinous process ISTC TB Training Modules
9 ISTC Image TB Training credit: Modules Curry 2009 International Tuberculosis Center, University of California, San Francisco 8
10 ISTC TB Training Modules Image credit: Curry International Tuberculosis Center, University of California, San Francisco 8
11 ISTC TB Training Modules Image credit: Curry International Tuberculosis Center, University of California, San Francisco 8
12 ISTC TB Training Modules Image credit: Curry International Tuberculosis Center, University of California, San Francisco 8
13 Inspiratory Effort Low Lung Volumes Full Inspiration Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 9
14 Exposure Overexposure Proper Exposure Image credit: Curry International Tuberculosis Center, University of California, San Francisco 10 ISTC TB Training Modules 2009
15 Overexposure Proper Exposure Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 11
16 ISTC TB Training Modules 2009 Rotated (Oblique) Image credit: Curry International Tuberculosis Center, University of California, San Francisco 12
17 Basic Radiology for the TB Clinician A systematic approach to reading a CXR Image ISTC TB Credit: Training Modules Lung Health 2009 Image Library/Gary Hampton 13
18 Approach to Reading a CXR Be Systematic Lungs Pleural surfaces Cardiomediastinal contours Bones and soft tissues Abdomen Image credit: Curry International Tuberculosis Center, University of California, San Francisco 14 ISTC TB Training Modules 2009
19 Worth a Second Look Apices Retrocardiac areas (left and right) Hilar regions Below diaphragm ISTC TB Training Modules
20 Apical TB Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 16
21 Apical TB (2) Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 17
22 Left Retrocardiac Opacity Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 18
23 Nodule Behind Diaphragm Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 19
24 Basic Radiology for the TB Clinician Basic CXR Anatomy Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 20
25 Basic CXR Anatomy Frontal and Lateral Views Heart Aorta Pulmonary arteries Airways Image Credit: Lung Health Image Library/Pierre Virot ISTC TB Training Modules
26 Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 22
27 Aortic arch Right pulmonary artery Left pulmonary artery Trachea & bronchi Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 23
28 Aortic arch Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 23
29 Aortic arch Right pulmonary artery Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 23
30 Aortic arch Right pulmonary artery Left pulmonary artery Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 23
31 Aortic arch Right pulmonary artery Left pulmonary artery Trachea & bronchi Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 23
32 Basic Radiology for the TB Clinician Patterns of disease ISTC TB Training Modules
33 Chest Radiographic Patterns of Disease Consolidation / air-space opacity Interstitial opacity Nodules and masses Lymphadenopathy Cysts and cavities Pleural abnormalities ISTC TB Training Modules
34 Consolidation / Air-Space Opacity Caused by filling of alveoli with fluid, pus, blood, cells (tumor), etc. May be diffuse, or isolated to segments or lobes of the lung May be associated with air bronchograms (air-filled bronchus surrounded by opacified lung) ISTC TB Training Modules
35 Pneumonia Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 27
36 Interstitial Opacity Disease localized to pulmonary interstitium, i.e., the alveolar septae and connective tissues that support the alveoli Hallmarks: Lines and/or reticulation Small, well-defined nodules Miliary pattern DDX: Pulmonary edema, interstitial lung diseases (e.g., idiopathic pulmonary fibrosis), sarcoidosis, infection, tumor (lymphangitic spread), etc. ISTC TB Training Modules
37 Interstitial Opacity: Lines Image credit: Curry International Tuberculosis Center, University of California, San Francisco 29 ISTC TB Training Modules 2009
38 Interstitial Opacity: Lines Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 29
39 Interstitial Opacity: Lines & Reticulation Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 30
40 Nodules and Masses Nodule: discrete pulmonary lesion, sharply defined, nearly circular opacity cm Mass: larger than 3 cm Describe with qualifiers: Single or multiple Size Border characteristics Presence or absence of calcification Location ISTC TB Training Modules
41 Well-Defined Calcification Ill-Defined Mass Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 32
42 Lymphadenopathy (LAN) Non-specific terms: Mediastinal widening Hilar prominence Specific patterns: Particular station enlargement (location) Important to know what normal should look like in order to recognize abnormal ISTC TB Training Modules
43 Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 34
44 Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 34
45 Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 34
46 Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 34
47 Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 34
48 Lymphadenopathy Infrahilar window (right hilar and/or subcarinal) Left hilar Subcarinal Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 35
49 Lymphadenopathy Infrahilar window (right hilar and/or subcarinal) Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 35
50 Lymphadenopathy Left hilar Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 35
51 Lymphadenopathy Subcarinal Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 35
52 Right Paratracheal & Bilateral LAN Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 36
53 Right Hilar LAN Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 37
54 Right Hilar LAN Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 38
55 Subcarinal LAN * Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 39
56 AP Window LAN Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 40
57 Cysts & Cavities Abnormal pulmonary parenchymal spaces ( holes ), filled with air and/or fluid, with a definable wall (>1 mm) Cyst: congenital or acquired Cavity: caused by tissue necrosis, (inflammatory and/or neoplastic) Characterize: Wall thickness at thickest portion Inner lining Presence / absence of air / fluid level Number and location ISTC TB Training Modules
58 TB or Not TB? Cysts and Cavities Are there radiographic features that suggest benign vs. malignant diagnoses? A C 45 year old man from China with cough, weight loss B Image ISTC TB credit: Training Modules Curry International 2009 Tuberculosis Center, University of California, San Francisco 42 D
59 TB or Not TB? Cysts and Cavities (2) Are there radiographic features that suggest benign vs. malignant diagnoses? Benign cysts: uniform wall thickness, 1mm, smooth inner lining (e.g., PCP) Benign cavities: max. wall thickness 4 mm, minimally irregular inner lining (e.g., TB) ISTC TB Training Modules 2009 Malignant cavities: max. wall thickness 16 mm, irregular inner lining 43
60 Pleural Disease: Basic Patterns Effusion Angle blunting to massive Thickening Mass Air Calcification ISTC TB Training Modules
61 Pleural Effusion ISTC TB Training Modules
62 Post-TB Pleural Calcification ISTC TB Training Modules
63 Plombage with Lucite balls ISTC TB Training Modules
64 Basic Radiology for the TB Clinician Radiographic Manifestations of TB ISTC TB Training Modules
65 Can this be TB? Typical Pattern : Post-primary TB Distribution Apical / posterior segments of upper lobes Superior segments of lower lobes Isolated anterior segment involvement unusual for M.tb (think M. avium complex) ISTC TB Training Modules
66 Typical pattern : Post-Primary TB Patterns of disease Air-space consolidation Cavitation, cavitary nodule Endobronchial spread Miliary Bronchostenosis Tuberculoma Pleural effusions (empyema most likely in post-primary disease) ISTC TB Training Modules
67 Can this be TB? Atypical pattern : Primary TB Distribution : any lobe involved (slight lower lobe predominance) Air-space consolidation Cavitation is uncommon (<10%) Adenopathy is common (esp. children and HIV), predilection for right side Miliary pattern Pleural effusions ISTC TB Training Modules
68 Can this be TB? Miliary TB ISTC TB Training Modules
69 Radiographic Patterns: Pulmonary TB TB Pattern Infiltrate Typical (Post-Primary) 85% upper Atypical (Primary) Upper : Lower 60 : 40 Usually upper in children Cavitation Common Uncommon Adenopathy Uncommon Children common Adults ~30% Unilateral > bilateral Effusion May be present May be present ISTC TB Training Modules
70 CXR Pattern: Early vs. Advanced HIV Pattern Infiltrate Early HIV (CD4>200) Typical (Post-primary) Upper lobes Advanced HIV (CD4<200) Atypical (Primary) Lower lobes, multiple sites, or miliary Cavitation Common Uncommon Adenopathy Uncommon Common Effusion Uncommon More common ISTC TB Training Modules
71 Can this be TB? Old / Healed TB Ca ++ granuloma Ghon lesion Ca ++ granuloma and hilar node calcification Ranke complex Apical pleural thickening Fibrosis and volume loss ISTC TB Training Modules
72 Basic Radiology for the TB Clinician Summary: Remember: Technical quality can significantly impact your CXR interpretation Develop a systematic approach (and use it every time!) Practice identifying normal CXR anatomy Important to characterize and describe lesions this can help with your differential diagnosis Whether typical or atypical TB can always fool you! ISTC TB Training Modules
Administrative. 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
Pulmonary 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
The 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
NORMAL 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
Primary -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
MEDICAL 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
Congestive 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
General 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
Chest 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
Cardiac 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:
Recurrent or Persistent Pneumonia
Recurrent or Persistent Pneumonia Lower Respiratory Tract Dr T Avenant Recurrent or Persistent Pneumonia Definitions Recurrent pneumonia more than two episodes of pneumonia in 18 months Persistent pneumonia
April 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
Diseases. 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
Multi-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.
Neoplasms 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:
Radiation-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
CHAPTER 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
Normal 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
Cystic 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
11 /40 1 /40 21 /40 31 /40. 1) This occurs when there is too much calcium in the blood stream and the body starts depositing it in soft tissues.
1) Atherosclerosis 1) This occurs when there is too much calcium in the blood stream and the body starts depositing it in soft tissues. 2) The gravity dependant portions of the lungs 2) This occurs at
6. 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
Linfoma 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 than 2,500 people are diagnosed with mesothelioma in the UK each year.
This information is an extract from the booklet Understanding mesothelioma. You may find the full booklet helpful. We can send you a free copy see page 5. Contents Introduction Pleural mesothelioma Peritoneal
The 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
Objectives. 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
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 and the pulmonary System The WHO manual of diagnostic imaging Radiographic Anatomy and Interpretation of the Chest
TUBERCULOSIS PLEURAL EFFUSION - MANAGEMENT
TUBERCULOSIS PLEURAL EFFUSION - MANAGEMENT Introduction : ETB 15-20% Pleural effusion 20% in non HIV Under reporting because of AFB negative in fluid In HIV patients: EPTB 20% PTB + EPTB 50% Pleural Effusion
Pulmonary interstitium. Interstitial Lung Disease. Interstitial lung disease. Interstitial lung disease. Causes.
Pulmonary interstitium Interstitial Lung Disease Alveolar lining cells (types 1 and 2) Thin elastin-rich connective component containing capillary blood vessels Interstitial lung disease Increase in interstitial
Best Practice Model for Imaging of Community Acquired Pneumonia. Karen E. Conner, MD
Best Practice Model for Imaging of Community Acquired Pneumonia Karen E. Conner, MD Chest Radiology and CT Section Chief, Intermountain Healthcare; Chair, QA Committee, Mountain Medical Physician Specialists
Chapter 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
SUMMARY 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
Disease/Illness GUIDE TO ASBESTOS LUNG CANCER. What Is Asbestos Lung Cancer? www.simpsonmillar.co.uk Telephone 0844 858 3200
GUIDE TO ASBESTOS LUNG CANCER What Is Asbestos Lung Cancer? Like tobacco smoking, exposure to asbestos can result in the development of lung cancer. Similarly, the risk of developing asbestos induced lung
UKRC 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
Pictorial 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
X-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
Abdomen 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
PARTICLE SIZE AND CHEMISTRY:
Pneumoconioses LW/Please note: This information is additional to Davidson s Principles and Practice of Medicine. /Hierdie inligting is aanvullend tot Davidson s Principles and Practice of Medicine. Pneumoconioses
Lung Cancer: Diagnosis, Staging and Treatment
PATIENT EDUCATION patienteducation.osumc.edu Lung Cancer: Diagnosis, Staging and Treatment Cancer begins in our cells. Cells are the building blocks of our tissues. Tissues make up the organs of the body.
CASE OF THE MONTH AUGUST-2015 DR. GURUDUTT GUPTA HEAD HISTOPATHOLOGY
CASE OF THE MONTH AUGUST-2015 DR. GURUDUTT GUPTA HEAD HISTOPATHOLOGY CASE HISTORY 52Y MALE RIGHT RADICAL NEPHERECTOMY Case of right renal mass with IVC thrombus. History of surgery and RT for right occipital
Lung Cancer. This reference summary will help you better understand lung cancer and the treatment options that are available.
Lung Cancer Introduction Lung cancer is the number one cancer killer of men and women. Over 165,000 people die of lung cancer every year in the United States. Most cases of lung cancer are related to cigarette
Chapter 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
HEALTH 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
X-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,
Anatomy Pleura Visceral Layer outer surface of lung Separates lobes of lung from each other Parietal Layer inner surface chest wall Pleural linings Co
Pleural diseases Dr. JM Nel Department of Pulmonology Pleural diseases Anatomy Empyema Physiology Pleurisy Pleural effusion Spontaneous Pneumothorax Asbestos- related pleural disease 1 Anatomy Pleura Visceral
Radiography 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
Dermatomyositis and interstitial lung disease. Asmin Tulpule, HMS III November 16, 2009 Core Radiology Clerkship
Dermatomyositis and interstitial lung disease Asmin Tulpule, HMS III November 16, 2009 Core Radiology Clerkship Agenda Presentation of our patient Menu of radiologic tests Basics of interstitial lung disease
Table. Positive Purified Protein Derivative Results (Pediatrics In Review Apr 2008)
PPD and TB Sreening COMPETENCY- The resident should know the risk factors for TB exposure, when to screen, and the appropriate criteria for recognizing a positive PPD in children of different age groups
Defending the Rest Basics on Lung Cancer, Other Cancers and Asbestosis: Review of the B-Read and Pulmonary Function Testing
Defending the Rest Basics on Lung Cancer, Other Cancers and Asbestosis: Review of the B-Read and Pulmonary Function Testing ASBESTOSIS November 2013 Bruce T. Bishop Lucy L. Brandon Willcox & Savage 440
Human Anatomy and Physiology The Respiratory System
Human Anatomy and Physiology The Respiratory System Basic functions of the respiratory system: as a Gas exchange supply oxygen to aerobic tissues in the body and remove carbon dioxide waste product. in-
A Diagnostic Chest XRay: Multiple Myeloma
Daniela Marinho Tridente, VI FCMSCSP October 2013 A Diagnostic Chest XRay: Multiple Myeloma Daniela Marinho Tridente, VI FCMSCSP Our Learning Agenda Introduction of our patient His imaging data and findings
Radiological Findings in BO
Radiological Findings in BO BO-Meeting 2016 Schloss Johannisberg Geisenheim - Rheingau Germany Dr. Simon Martin Department of Diagnostic and Interventional Radiology University Hospital Frankfurt Bronchiolitis
2.06 Understand the functions and disorders of the respiratory system
2.06 Understand the functions and disorders of the respiratory system 2.06 Understand the functions and disorders of the respiratory system Essential questions What are the functions of the respiratory
CHARACTERSTIC RADIOGRAPHIC APPEARANCE
OSTEOLYTIC LESIONS APPROACH AGE Metastatic Neuroblastoma in infant and young child. Metastases and multiple myeloma in middle aged and elderly. Ewing s sarcoma and simple bone cyst in children and teens.
and diagnosis of Tuberculosis (TB) the evaluation of childhood TB children with TB ! Give an overview of the demographics, pathogenesis
! Give an overview of the demographics, pathogenesis and diagnosis of Tuberculosis (TB)! Discuss current imaging utilization and updates in the the evaluation of childhood TB! Describe the spectrum of
INFLAMMATORY PLEURAL EFFUSION
PLEURA- LESIONS LESIONS OF PLEURA Primary Intra pleural bacterial infections Neoplasm (mesothelioma) Secondary A complication of some underlying disease PLEURAL EFFUSION Common manifestation of both primary
A. 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
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:
General Information About Non-Small Cell Lung Cancer
General Information About Non-Small Cell Lung Cancer Non-small cell lung cancer is a disease in which malignant (cancer) cells form in the tissues of the lung. The lungs are a pair of cone-shaped breathing
Imaging of the chest. Katarzyna Wypych Zbigniew Serafin
Imaging of the chest Katarzyna Wypych Zbigniew Serafin Bronchial carcinoma Lung cancer (or frequently if somewhat incorrectly known as bronchogenic carcinoma) is the most common cause of cancer in men,
Radiology of the Equine Lungs and Thorax (2-Mar-2004)
In: Equine Respiratory Diseases, P. Lekeux (Ed.) Publisher: International Veterinary Information Service (www.ivis.org), Ithaca, New York, USA. Radiology of the Equine Lungs and Thorax (2-Mar-2004) R.
Online supplements are not copyedited prior to posting.
Functional Impact of a Spectrum of Interstitial Lung Abnormalities in Rheumatoid Arthritis Tracy J. Doyle, MD, MPH; Paul F. Dellaripa, MD; Kerri Batra, MD; Michelle L. Frits, BA; Christine K. Iannaccone,
Radiology of Asbestos-related Diseases
8/25/03 9/19/03 Radiology of Asbestos-related Diseases Joan S. Hu,, Harvard Medical School Year III Gillian Lieberman, M.D. Asbestos-related conditions I. Benign Pleural Disease II. III. IV. A. Pleural
Breast Cancer: from bedside and grossing room to diagnoses and beyond. Adriana Corben, M.D.
Breast Cancer: from bedside and grossing room to diagnoses and beyond Adriana Corben, M.D. About breast anatomy Breasts are special organs that develop in women during puberty when female hormones are
Lung Carcinoid Tumor
Lung Carcinoid Tumor What are lung carcinoid tumors? Lung carcinoid tumors (also known as lung carcinoids) are a type of lung cancer, which is a cancer that starts in the lungs. Cancer starts when cells
Tina Mosaferi, Harvard Medical School Year III Gillian Lieberman, MD
July 2014 Tina Mosaferi, Harvard Medical School Year III 1. Our Patient-Introduction 2. Asbestos Basics 3. Pulmonary Findings Manifestations demonstrated by companion patients 4. Our patient-conclusion
Influenza (Flu) Influenza is a viral infection that may affect both the upper and lower respiratory tracts. There are three types of flu virus:
Respiratory Disorders Bio 375 Pathophysiology General Manifestations of Respiratory Disease Sneezing is a reflex response to irritation in the upper respiratory tract and is associated with inflammation
Asbestos Disease: An Overview for Clinicians Asbestos Exposure
Asbestos Asbestos Disease: An Overview for Clinicians Asbestos Exposure Asbestos: A health hazard Exposure to asbestos was a major occupational health hazard in the United States. The first large-scale
Department of Surgery
Thoracic Surgery After Your Lung Surgery Patient Education Discharge Information You have just had lung surgery. The following are definitions of terms you may hear in connection with your surgery: THORACOTOMY
Computed Tomography, Head Or Brain; Without Contrast Material, Followed By Contrast Material(S) And Further Sections
1199SEIU BENEFIT AND PENSION FUNDS High Tech Diagnostic Radiology and s # 1 70336 Magnetic Resonance (Eg, Proton) Imaging, Temporomandibular Joint(S) 2 70450 Computed Tomography, Head Or Brain; Without
Mesothelioma. 1995-2013, The Patient Education Institute, Inc. www.x-plain.com ocft0101 Last reviewed: 03/21/2013 1
Mesothelioma Introduction Mesothelioma is a type of cancer. It starts in the tissue that lines your lungs, stomach, heart, and other organs. This tissue is called mesothelium. Most people who get this
Occupational Lung Disease. SS Visser Internal Medicine UP
Occupational Lung Disease SS Visser Internal Medicine UP Classification Anorganic ( mineral ) dust/pneumoconiosis Fibrogenic - silica, asbestos, talc, silicates Non-fibrogenic - Fe, barium, tin Immunologic/Pharmcologic
THE NATURAL HISTORY OF PULMONARY TUBERCULOSIS
Dr William Harris, Professor of Clinical Medicine of New York University, School of Medicine describes, in this series of slides, the natural history of pulmonary tuberculosis and the importance of early
Lung Carcinoid Tumor
Lung Carcinoid Tumor What are lung carcinoid tumors? Lung carcinoid tumors (also known as lung carcinoids) are a type of lung cancer, which is a cancer that starts in the lungs. Cancer starts when cells
GUIDELINES 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
Recurrent & Persistent Papillary Thyroid Cancer Central Nodal Dissection vs. Node-Picking Patterns of Nodal Metastases Recurrent Laryngeal Nerve,
Recurrent & Persistent Papillary Thyroid Cancer Central Nodal Dissection vs. Node-Picking Patterns of Nodal Metastases Recurrent Laryngeal Nerve, Larynx, Trachea, & Esophageal Management Robert C. Wang,
The Need for Accurate Lung Cancer Staging
The Need for Accurate Lung Cancer Staging Peter Baik, DO Thoracic Surgery Cancer Treatment Centers of America Oklahoma Osteopathic Association 115th Annual Convention Financial Disclosures: None 2 Objectives
Basic Data. 鍾 XX, female Age:59 y/o
Basic Data 鍾 XX, female Age:59 y/o Chief complain for evaluation of the left pleural mass Clinical course This 59 years old lady Hypertension for 3 years, under herbal control. An episode of high BP up
Ultrasound 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
Practical 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,
Tuberculosis in Children and Adolescents
Tuberculosis in Children and Adolescents Ritu Banerjee, MD, Ph.D TB Clinical Intensive April 8, 2015 2014 MFMER slide-1 Disclosures None 2014 MFMER slide-2 Objectives Describe the epidemiology of pediatric
LYMPHOMA IN DOGS. Diagnosis/Initial evaluation. Treatment and Prognosis
LYMPHOMA IN DOGS Lymphoma is a relatively common cancer in dogs. It is a cancer of lymphocytes (a type of white blood cell) and lymphoid tissues. Lymphoid tissue is normally present in many places in the
About lung cancer. Contents. The lungs
This information is an extract from the booklet Understanding lung cancer. You may find the full booklet helpful. We can send you a free copy see page 7. The lungs Contents The lungs Types of lung cancer
Metastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy
Metastatic Cervical Cancer s/p Radiation Therapy, Radical Hysterectomy and Attempted Modified Internal Hemipelvectomy Sarah Hutto,, MSIV Marc Underhill, M.D. January 27, 2009 Past History 45 yo female
Chest radiography is the most
... Chest Radiography for Radiologic Technologists DAN L. HOBBS, M.S.R.S., R.T.(R)(CT)(MR) The chest exam is performed more frequently than any other exam in the imaging department. It is important for
A Practical Guide to Advances in Staging and Treatment of NSCLC
A Practical Guide to Advances in Staging and Treatment of NSCLC Robert J. Korst, M.D. Director, Thoracic Surgery Medical Director, The Blumenthal Cancer Center The Valley Hospital Objectives Revised staging
Non-Small Cell Lung Cancer
Non-Small Cell Lung Cancer About Your Lungs and Lung Cancer How do your lungs work? To understand lung cancer it is helpful to understand your lungs. Your lungs put oxygen into the blood, which the heart
Malignant Mesothelioma Versus Metastatic Carcinoma of the Pleura: A CT Challenge
Iran J Radiol. 2016 January; 13(1): e10949. Published online 2015 November 14. CHEST IMAGING DOI: 10.5812/iranjradiol.10949 Research Article Malignant Mesothelioma Versus Metastatic Carcinoma of the Pleura:
Asbestos: The Range of Its Ill-Effects. Ezra Cohen, MS III Dr. Gillian Lieberman, MD Core Radiology Clerkship, BIDMC April 16 th, 2010
Asbestos: The Range of Its Ill-Effects Ezra Cohen, MS III Dr. Gillian Lieberman, MD Core Radiology Clerkship, BIDMC April 16 th, 2010 Outline of Presentation Patient Presentation Anatomy Defining the disease
YOUR LUNG CANCER PATHOLOGY REPORT
UNDERSTANDING YOUR LUNG CANCER PATHOLOGY REPORT 1-800-298-2436 LungCancerAlliance.org A GUIDE FOR THE PATIENT 1 CONTENTS What is a Pathology Report?...3 The Basics...4 Sections of a Pathology Report...7
TUBERCULOSIS (TB) SCREENING GUIDELINES FOR RESIDENTIAL FACILITIES AND DRUG
TUBERCULOSIS (TB) SCREENING GUIDELINES FOR RESIDENTIAL FACILITIES AND DRUG Tx CENTERS Tuberculosis Control Program Health and Human Services Agency San Diego County INTRODUCTION Reducing TB disease requires
AI CPT Codes. x x. 70336 MRI Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)
Code Category Description Auth Required Medicaid Medicare 0126T IMT Testing Common carotid intima-media thickness (IMT) study for evaluation of atherosclerotic burden or coronary heart disease risk factor
X-Plain Pediatric Tuberculosis Reference Summary
X-Plain Pediatric Tuberculosis Reference Summary Introduction Tuberculosis, or TB, is a bacterial infection that causes more deaths in the world than any other infectious disease. When a child gets TB,
Breast Ultrasound: Benign vs. Malignant Lesions
October 25-November 19, 2004 Breast Ultrasound: Benign vs. Malignant Lesions Jill Steinkeler,, Tufts University School of Medicine IV Breast Anatomy Case Presentation-Patient 1 62 year old woman with a
Radiographic Findings and Comments
642 Abdomen (Cont.) Differential Diagnosis of Abdominal s E. Focal parenchymal calcification of the kidney Tuberculosis (Fig. 27.19) Adenocarcinoma (Fig. 27.20) Nephroblastoma (Wilms tumor) (Fig. 27.21)
WORKPLACE 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
Francine Lortie-Monette, MD, MSc, CSPQ, MBA Department of Epidemiology and Biostatistics University of Western Ontario 2003
ASBESTOS Francine Lortie-Monette, MD, MSc, CSPQ, MBA Department of Epidemiology and Biostatistics University of Western Ontario 2003 Asbestosis Asbestosis is a model for other dust diseases as well as
Toxicity of Amphibole Asbestos
Toxicity of Amphibole Asbestos Disclaimer: The material presented in these slides has been reviewed by the U.S. EPA and approved for presentation. Approval does not signify that the contents necessarily
Transmission & Pathogenesis of Tuberculosis
April-December, 2011: TB cases reported by the media in US Transmission & Pathogenesis of Tuberculosis Shu-Hua Wang, MD, MPH & TM Assistant Professor of Medicine The Ohio State University TB found at Seaside
Appendix B: Provincial Case Definitions for Reportable Diseases
Infectious Diseases Protocol Appendix B: Provincial Case Definitions for Reportable Diseases Disease: Tuberculosis Revised August 2015 Tuberculosis 1.0 Provincial Reporting Confirmed and suspect cases
Anatomy and Physiology: Understanding the Importance of CPR
Anatomy and Physiology: Understanding the Importance of CPR Overview This document gives you more information about the body s structure (anatomy) and function (physiology). This information will help