Chest Radiology LYMPHANGITIC CARCINOMATOSIS CERTAIN CANCERS SPREAD BY PLUGGING THE LYMPHATICS
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1 2 Chest Radiology Includes plain film diagnosis, CT, MRI, and interventional techniques used in the diagnosis of diseases of the lungs, pleura, and mediastinum including the heart and great vessels. LYMPHANGITIC CARCINOMATOSIS CERTAIN CANCERS SPREAD BY PLUGGING THE LYMPHATICS Cervix Colon Stomach Breast Pancreas Thyroid Larynx From: Radiology: The Oral Boards Primer By: A. Mehta and D. P. Beall Humana Press Inc., Totowa, NJ 33
2 34 Radiology: The Oral Boards Primer BRONCHIOLITIS OBLITERANS CRITTERS COP/BOOP Rheumatoid Infectious-Swyer James Transplant Toxins Sarcoid MULTIPLE NODULES OR MASS >3 CM DAYS OF THE WEEK: MTWTFSS Mets/Carcinoma/Lymphoma TB/granuloma Wegeners Rheumatoid nodules/round pneumonia Fungal Sarcoid Septic pulmonary emboli
3 Chapter 2 / Chest Radiology 35 COIN LESION <3 CM CHANGE Carcinoma/Congenital Hamartoma/Hematoma AVM/Abscess Neoplasm mets Granuoma Esoteric-TB pneumonia
4 36 Radiology: The Oral Boards Primer A CT scan should be done to assess: Ca 2+ pattern Benign: solid, lamellated, central Malignant: stippled, any other pattern. Density: fat - Hamartoma Margins: Spiculated suggestive of carcinoma Enhancement Four 1-min images >15HU suggestive Growth CAVITY CAVITY Carcinoma-SCC Abscess-fungal/bacterial/TB Vascular-septic emboli Inflammatory-rheumatoid nodule Trauma-resolving contusion Young-bronchogenic cyst
5 Chapter 2 / Chest Radiology 37 CAVITY (continued)
6 38 Radiology: The Oral Boards Primer BRONCHOVASCULAR SPREAD SKILL Sarcoid Kaposi Infection PCP/TB Lymphoma Lymphagitic spread UNILATERAL HYPERLUCENT LUNG POEMS Poland syndrome/pneumothorax Oligemia/Obstruction (PE) Emphysema Mastectomy Swyer James
7 Chapter 2 / Chest Radiology 39 ACUTE INTERSTITIAL DISEASE (RETICULAR) HELP Hypersensitivity pneumonitis Edema-Inhalation injuries Lymphoproliferative Pneumonia-atypicals, PCP
8 40 Radiology: The Oral Boards Primer CHRONIC INTERSTITIAL DISEASE (RETICULAR) PAGE CHUCK AT THE CIA RIGHT NOW, THERE S DRUGS UPPER LUNG ZONES Pneumoconiosis Ankylosing spondylitis Granulomatous Eosinophillic Sarcoid/Silicosis MID LUNG ZONES Chronic Hypersensitivity
9 Chapter 2 / Chest Radiology 41 LOWER LUNG ZONES Collagen vascular disease IPF Asbestos Rheumatoid NF Drug toxicity
10 42 Radiology: The Oral Boards Primer ACUTE AIRSPACE DISEASE HELP LEGALIZE HEMP DIFFUSE Hemorrhage Edema Lymphoproliferative esoteric Pneumonia FOCAL Hemorrhage-contusion/PE Edema-inhalation (crack) MI (RUL) Pneumonia
11 Chapter 2 / Chest Radiology 43 CHRONIC AIRSPACE DISEASE PEBBLES PAP/PCP/Pedema Eosinophillic pneumonia BAC BOOP Lymphoma Esoteric-Wegener s/tb Sarcoid/Septic pulmonary emboli
12 44 Radiology: The Oral Boards Primer GROUND GLASS DIFFUSE OPACITY SHAKE YOUR HIPS IN BED Sarcoid Hypersensitivity smokers Infection Pneumonitis DIP Scleroderma/CVD BOOP Edema/aspiration Drug toxicitiy CENTRAL OPACITIES EXTENDING FROM THE HILA OUTWARDS PPPP PAP Pulmonary edema PCP Pneumonia atypical/influenza
13 Chapter 2 / Chest Radiology 45 MIDDLE MEDIASTINAL MASS HABIT Hernia, Hematoma Aneurysm Bronchogenic cyst/duplication cyst Inflammation (sarcoidosis, histoplasmosis, coccidioidomycosis, primary TB in children) Tumors remember the five Ls: Lung, especially oat cell Lymphoma Leukemia Leiomyoma Lymph node hyperplasia
14 46 Radiology: The Oral Boards Primer RETICULAR (CXR)/CYSTIC OPACITIES (CT) ELECT CHIP EG LAM Emphysema CF TS Coccidiomycosis Hydrocarbon Infectious PCP
15 Chapter 2 / Chest Radiology 47 FINGER IN GLOVE OPACITIES CACACA CF Asthma Congential bronchial atresia ABPA Cancer AVM
16 48 Radiology: The Oral Boards Primer CRAZY PAVING (CT) ACUTE Edema Hemorrhage CHRONIC PAP Sarcoid PCP Fibrosis
17 Chapter 2 / Chest Radiology 49 END-STAGE LUNG (CXR) ARCHITECTURAL DESTRUCTION TESSA TB EG Sarcoid Silicosis ARDS The sequela of
18 50 Radiology: The Oral Boards Primer CA 2+ NODULES MASH POX Metastatic disease Alveolar microlithiasis Silicosis/siderosis Histoplasmosis Pox (Varicella) TREE IN BUD OPACITIES (CT) MIT Mucous plugging: Aspiration/Kartageners Inflammatory plugging (PUS): TB/MAI Tumor emboli (rare)
19 Chapter 2 / Chest Radiology 51 NODULES (CT) DIFFUSE MISSLE Mets Infection Sarcoid Silicosis Lymphoma EG
20 52 Radiology: The Oral Boards Primer PERILYMPHATIC A SKILL Amyloid Sarcoid Kaposi s Infection (PCP) Lymphoma Lymphang carcinomatosis
21 Chapter 2 / Chest Radiology 53 CENTRILOBULAR HERB HAS GAS Hypersen pneumonitis EG RB-ILD BAC/BOOP GVHD VASculitis
22 54 Radiology: The Oral Boards Primer BRONCHIECTASIS CAPT KANGAROO HAS MOUNIER KUHN Cystic fibrosis ABPA Postinfectious TB Kartagener s Mounier Kuhn
23 Chapter 2 / Chest Radiology 55 TRACHEAL NEOPLASMS Multiple TRAM Tracheobronchopathia Relapsing polychondritis Metsastasis Single MATCH Mucoepidermoid Adenoid cystic Tracheal SCC Carcinoid Hamartoma
24 56 Radiology: The Oral Boards Primer Cardiac CARDIOMYOPATHY RESTRICTIVE Sarcoid Hemochromatosis Amyloid Endocardial fibroelastosis HYPERTROPHIC Obstructive Nonobstructive
25 Chapter 2 / Chest Radiology 57 Dilated PERICARDIUM
26 58 Radiology: The Oral Boards Primer CA 2+ Uremic Viral TB Prior hemorrhage
27
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