Case of the Day Chest
|
|
- Anne Foster
- 5 years ago
- Views:
Transcription
1 Case of the Day Chest Darin White MDCM FRCPC Department of Radiology, Mayo Clinic 76 th Annual Scientific Meeting Canadian Association of Radiologists Montreal, QC April 26, MFMER slide-1
2 Disclosures Relevant Financial Disclosures None Off Label Use Disclosures None 2013 MFMER slide-2
3 History 46 year-old male Progressive dyspnea on exertion New small amounts of hemoptysis for 2 months 2013 MFMER slide-3
4 2013 MFMER slide-4
5 Differential Diagnosis Unilateral Pulmonary Interstitial Pattern ACUTE Infection Edema Aspiration Resolving hemorrhage Airspace opacity superimposed on already abnormal lung (i.e. emphysema, fibrosis, etc.) CHRONIC Recurrent aspiration/ infection Radiation fibrosis Lymphangitic carcinomatosis Pulmonary venous obstruction Unilateral lung transplant Other rare 2013 MFMER slide-5
6 2013 MFMER slide-6
7 Differential Diagnosis NEOPLASTIC Bronchogenic carcinoma Metastatic disease Lymphoma NON-NEOPLASTIC Fibrosing mediastinitis IgG4-related disease 2013 MFMER slide-7
8 Subsequent Evaluation 18F-FDG PET/CT Mildly increased metabolic activity in subcarinal and para-aortic lymph nodes (SUV max = 3.6) Low level 18F-FDG activity in region of left hilar soft tissue thickening EBUS-guided Biopsy Negative for malignancy Serology Histoplasma capsulatum antibody positive 2013 MFMER slide-8
9 Answer Fibrosing Mediastinitis 2013 MFMER slide-9
10 Fibrosing Mediastinitis Also referred to as mediastinal fibrosis or sclerosing mediastinitis Rare benign proliferation of fibrous tissue within the mediastinum Pathologically, a spectrum from loose fibromyxoid tissue to dense collagen with a variable inflammatory cellular infiltrate 2013 MFMER slide-10
11 Fibrosing Mediastinitis Etiology Granulomatous infection Histoplasma capsulatum Tuberculosis, actinomycosis, blastomycosis, aspergillosis Non-infectious granulomatous disease Sarcoidosis, silicosis, Behcet s Immunologic/Autoimmune Collagen vascular disease, IgG4- related disease, multisystem fibrosis Iatrogenic methysergide, radiation Trauma Idiopathic Malignancy 2013 MFMER slide-11
12 Fibrosing Mediastinitis Presentation Variable age at presentation = Signs and symptoms related to compression or obstruction of mediastinal or hilar structures Cough, dyspnea, recurrent infection, chest pain, hemoptysis, superior vena cava syndrome, dysphagia, hoarseness, diaphragmatic paralysis, Horner syndrome, chylothorax Constitutional symptoms Fever, weight loss, malaise 2013 MFMER slide-12
13 Fibrosing Mediastinitis Imaging Chest Radiographs mediastinal widening distortion of mediastinal lines and stripes hilar enlargement +/- calcification Sequelae: airway narrowing, postobstructive atelectasis/ consolidation pulmonary venous hypertension, pulmonary edema vascular asymmetry, pulmonary infarcts 2013 MFMER slide-13
14 Fibrosing Mediastinitis Imaging CT infiltrative mediastinal/hilar soft tissue thickening or mass focal (82%) or diffuse (18%) calcification (60-90%) variable enhancement Sequelae compression/obstruction of central airways, central vessels, esophagus atelectasis, consolidation, edema, infarcts 2013 MFMER slide-14
15 Fibrosing Mediastinitis Imaging MRI typically intermediate T1 and heterogeneous T2 signal intensity often regions of T2 hypointensity inferior to CT for detection of calcification heterogeneous enhancement postgadolinium Sequelae as demonstrated on CT 2013 MFMER slide-15
16 Fibrosing Mediastinitis Imaging Nuclear Medicine 18-FDG PET variable metabolic activity within and between lesions Ventilation/Perfusion perfusion defects reflecting pulmonary arterial or venous obstruction lobar/segmental ventilation defects or air trapping reflecting airway involvement Ventilation Perfusion 2013 MFMER slide-16
17 Summary Fibrosing mediastinitis should be considered in the setting of localized mediastinal soft tissue thickening associated with vascular and/or airway compromise. Accompanying calcification further suggests the diagnosis. In the correct clinical setting, such as positive Histoplasma capsulatum serology and no known malignancy, CT findings may obviate the need for biopsy MFMER slide-17
18 Questions? 2013 MFMER slide-18
19 Review At the conclusion of this session, participants should be able to: 1. Provide a differential diagnosis for a unilateral pulmonary interstitial pattern. (CanMEDS Roles: Medial Expert) 2. Describe the typical imaging features and differential diagnosis of fibrosing mediastinitis. (CanMEDS Roles: Medical Expert) 3. List at least four causes of fibrosing mediastinitis. (CanMEDS Roles: Medical Expert) 2013 MFMER slide-19
20 References McNeeley MF, Chung JH, Bhalla S, Godwin JD. Imaging of granulomatous fibrosing mediastinitis. AJR. 2012; 199(2): Rossi SE, McAdams HP,Rosado-de-Christenson ML, Franks TJ, Galvin JR. Fibrosing mediastinitis. Radiographics. 2001; 21(3): Franquet T. Mediastinitis. In: Muller NL, Silva CIS, eds. Imaging of the Chest. Philadelphia, PA: Saunders Elsevier; 2008: MFMER slide-20
Resident Case Review CHEST. Daria Manos CAR 2016
Resident Case Review CHEST CAR 2016 Daria Manos Disclosure Speakers bureau, Roche CAR 2016 Daria Manos 1. Recognize common and critical chest radiograph and computed tomography signs and use these clues
More informationAn Introduction to Radiology for TB Nurses
An Introduction to Radiology for TB Nurses Garold O. Minns, MD September 14, 2017 TB Nurse Case Management September 12 14, 2017 EXCELLENCE EXPERTISE INNOVATION Garold O. Minns, MD has the following disclosures
More informationMediastinal Tumors: Imaging
Mediastinal Tumors: Imaging References Imaging in Oncology, Husband and Reznek Computed Tomography and Magnetic Resonance of the thorax, Naidich, Zerhouni, Siegelman, Mediastinal compartments Anterior:
More informationRadiology Pathology Conference
Radiology Pathology Conference Sharlin Johnykutty,, MD, Cytopathology Fellow Sara Majewski, MD, Radiology Resident Friday, August 28, 2009 Presentation material is for education purposes only. All rights
More informationPulmonary Sarcoidosis - Radiological Evaluation
Original Research Article Pulmonary Sarcoidosis - Radiological Evaluation Jayesh Shah 1, Darshan Shah 2*, C. Raychaudhuri 3 1 Associate Professor, 2 1 st Year Resident, 3 Professor and HOD Radiology Department,
More informationNew lung lesion in a 55 year-old male treated with chemoradiation for non-small cell lung carcinoma
July 2016 New lung lesion in a 55 year-old male treated with chemoradiation for non-small cell lung carcinoma Contributed by: Laurel Rose, MD, Resident Physician, Indiana University School of Medicine,
More informationTB Radiology for Nurses Garold O. Minns, MD
TB Nurse Case Management Salina, Kansas March 31-April 1, 2010 TB Radiology for Nurses Garold O. Minns, MD April 1, 2010 TB Radiology for Nurses Highway Patrol Training Center Salina, KS April 1, 2010
More informationInteresting Cases. Pulmonary
Interesting Cases Pulmonary 54M with prior history of COPD, hep B/C, and possible history of TB presented with acute on chronic dyspnea, and productive cough Hazy opacity overlying the left hemithorax
More informationAcquired whole-lung mismatched perfusion defects on pulmonary ventilation/perfusion scintigraphy
Washington University School of Medicine Digital Commons@Becker Open Access Publications 2018 Acquired whole-lung mismatched perfusion defects on pulmonary ventilation/perfusion scintigraphy Andrew W.
More informationHow to Analyse Difficult Chest CT
How to Analyse Difficult Chest CT Complex diseases are:- - Large lesion - Unusual or atypical pattern - Multiple discordant findings Diffuse diseases are:- - Numerous findings in both sides 3 basic steps
More informationRespiratory Interactive Session. Elaine Borg
Respiratory Interactive Session Elaine Borg Case 1 Respiratory Cytology 55 year old gentleman Anterior mediastinal mass EBUS FNA Case 1 Respiratory Cytology 55 year old gentleman with anterior mediastinal
More informationCase 1: Question. 1.1 What is the main pattern of this HRCT? 1. Intralobular line 2. Groundglass opacity 3. Perilymphatic nodule
HRCT WORK SHOP Case 1 Case 1: Question 1.1 What is the main pattern of this HRCT? 1. Intralobular line 2. Groundglass opacity 3. Perilymphatic nodule Case 1: Question 1.2 What is the diagnosis? 1. Hypersensitivity
More informationLung Cancer Imaging. Terence Z. Wong, MD,PhD. Department of Radiology Duke University Medical Center Durham, NC 9/9/09
Lung Cancer Imaging Terence Z. Wong, MD,PhD Department of Radiology Duke University Medical Center Durham, NC 9/9/09 Acknowledgements Edward F. Patz, Jr., MD Jenny Hoang, MD Ellen L. Jones, MD, PhD Lung
More informationChest Radiology Interpretation: Findings of Tuberculosis
Chest Radiology Interpretation: Findings of Tuberculosis Get out your laptops, smart phones or other devices pollev.com/chestradiology Case #1 1 Plombage Pneumonia Cancer 2 Reading the TB CXR Be systematic!
More informationBronchogenic Carcinoma
A 55-year-old construction worker has smoked 2 packs of ciggarettes daily for the past 25 years. He notes swelling in his upper extremity & face, along with dilated veins in this region. What is the most
More informationChief Complain. For chemotherapy
Chief Complain For chemotherapy Present Illness 93.12 Progressive weakness of R t arm for 1 year X-ray: peneative lesion over right proximal humorous Bone scan: multiple increased intake Biopsy of distal
More informationCT findings of high-attenuation pulmonary abnormalities
Insights Imaging (2010) 1:287 292 DOI 10.1007/s13244-010-0039-2 PICTORIAL REVIEW CT findings of high-attenuation pulmonary abnormalities Naim Ceylan & Selen Bayraktaroglu & Recep Savaş & Hudaver Alper
More informationA 64 y.o. man presents to the hospital with persistent cough and hemoptysis. Fernando Mut Montevideo - Uruguay
A 64 y.o. man presents to the hospital with persistent cough and hemoptysis Fernando Mut Montevideo - Uruguay Teaching case Bone # 1 A 64 y.o. man presents to the hospital with persistent cough and hemoptysis.
More informationSCLEROSING LESIONS OF THE MEDIASTINUM
SCLEROSING LESIONS OF THE MEDIASTINUM Mark R. Wick, MD Division of Surgical Pathology University of Virginia Health System Charlottesville, VA, USA SCLEROSING MEDIASTINITIS A slowly-evolving tumefactive
More informationOctober 2012 Imaging Case of the Month. Michael B. Gotway, MD Associate Editor Imaging. Department of Radiology Mayo Clinic Arizona Scottsdale, AZ
October 2012 Imaging Case of the Month Michael B. Gotway, MD Associate Editor Imaging Department of Radiology Mayo Clinic Arizona Scottsdale, AZ Clinical History: A 65-year-old non-smoking woman presented
More informationPulmonary arterial hypertension in childhood: an unsual presentation with fibrosing mediastinitis
ACTA BIOMED 2014; VOL. 85, N. 1: 68-72 Mattioli 1885 C A S E R E P O R T Pulmonary arterial hypertension in childhood: an unsual presentation with fibrosing mediastinitis Elisabetta Teopompi 1, Bertrand
More informationAcute and Chronic Lung Disease
KATHOLIEKE UNIVERSITEIT LEUVEN Faculty of Medicine Acute and Chronic Lung Disease W De Wever, JA Verschakelen Department of Radiology, University Hospitals Leuven, Belgium Clinical utility of HRCT To detect
More informationChest XRay interpretation INTERPRETATIONS Identifications: Name & Date Technical evaluation Basic Interpretations
Chest XRay interpretation INTERPRETATIONS Identifications: Name & Date Technical evaluation Basic Interpretations TECHNICAL EVALUATION 1. Projection: AP/PA view To differentiate between AP & PA films,
More informationSurgical indications: Non-malignant pulmonary diseases. Punnarerk Thongcharoen
Surgical indications: Non-malignant pulmonary diseases Punnarerk Thongcharoen Non-malignant Malignant as a pathological term: Cancer Non-malignant = not cancer Malignant as an adjective: Disposed to cause
More informationBronchial syndrome. Atelectasis Draining bronchus Bronchiectasis
Bronchial syndrome Atelectasis Draining bronchus Bronchiectasis Etienne Leroy Terquem Pierre L Her SPI / ISP Soutien Pneumologique International / International Support for Pulmonology Atelectasis Consequence
More informationDiagnostic Value of EBUS-TBNA in Various Lung Diseases (Lymphoma, Tuberculosis, Sarcoidosis)
Diagnostic Value of EBUS-TBNA in Various Lung Diseases (Lymphoma, Tuberculosis, Sarcoidosis) Sevda Sener Cömert, MD, FCCP. SBU, Kartal Dr.Lütfi Kırdar Training and Research Hospital Department of Pulmonary
More informationPulmonary Embolism. Thoracic radiologist Helena Lauri
Pulmonary Embolism Thoracic radiologist Helena Lauri 8.5.2017 Statistics 1-2 out of 1000 adults annually are diagnosed with deep vein thrombosis (DVT) and/or pulmonary embolism (PE) About half of patients
More informationApproach to Pulmonary Nodules
Approach to Pulmonary Nodules Edwin Jackson, Jr., DO Assistant Professor-Clinical Director, James Early Detection Clinic Department of Internal Medicine Division of Pulmonary, Allergy, Critical Care and
More informationCase 1 : Question. 1.1 What is the intralobular distribution? 1. Centrilobular 2. Perilymphatic 3. Random
Interesting case Case 1 Case 1 : Question 1.1 What is the intralobular distribution? 1. Centrilobular 2. Perilymphatic 3. Random Case 1: Answer 1.1 What is the intralobular distribution? 1. Centrilobular
More informationSectional Anatomy Quiz II
Sectional Anatomy II Rashid Hashmi Rural Clinical School, University of New South Wales, Wagga Wagga, New South Wales, Australia A R T I C L E I N F O Article type: Article history: Received: 3 Aug 2017
More informationobjectives Pitfalls and Pearls in PET/CT imaging Kevin Robinson, DO Assistant Professor Department of Radiology Michigan State University
objectives Pitfalls and Pearls in PET/CT imaging Kevin Robinson, DO Assistant Professor Department of Radiology Michigan State University To determine the regions of physiologic activity To understand
More informationPULMONARY TUBERCULOSIS RADIOLOGY
PULMONARY TUBERCULOSIS RADIOLOGY RADIOLOGICAL MODALITIES Medical radiophotography Radiography Fluoroscopy Linear (conventional) tomography Computed tomography Pulmonary angiography, bronchography Ultrasonography,
More informationLung Cancer - Suspected
Lung Cancer - Suspected Shared Decision Making Lung Cancer: http://www.enhertsccg.nhs.uk/ Patient presents with abnormal CXR Lung cancer - clinical presentation History and Examination Incidental finding
More informationA Case of Pediatric Plasma Cell Granuloma
August 2001 A Case of Pediatric Plasma Cell Granuloma Nii Tetteh, Harvard Medical School Year IV Our Patient 8 year old male with history of recurrent left lower lobe and lingular pneumonias since 1994.
More informationRadiation Exposure in Pregnancy. John R. Mayo UNIVERSITY OF BRITISH COLUMBIA
Radiation Exposure in Pregnancy John R. Mayo UNIVERSITY OF BRITISH COLUMBIA Illustrative Clinical Scenario 32 year old female 34 weeks pregnant with recent onset shortness of breath and central chest pain
More informationLung Cancer-a primer. Sai Yendamuri, MD Professor and Chair, Dept of Thoracic Surgery,RPCI,Buffalo
Lung Cancer-a primer Sai Yendamuri, MD Professor and Chair, Dept of Thoracic Surgery,RPCI,Buffalo CLINICAL CATEGORIES THE SOLITARY PULMONARY NODULE MULTIPLE PULMONARY NODULES Differential Diagnosis Malignant
More informationPositron Emission Tomography in Lung Cancer
May 19, 2003 Positron Emission Tomography in Lung Cancer Andrew Wang, HMS III Patient DD 53 y/o gentleman presented with worsening dyspnea on exertion for the past two months 30 pack-year smoking Hx and
More informationMediastinal Staging. Samer Kanaan, M.D.
Mediastinal Staging Samer Kanaan, M.D. Overview Importance of accurate nodal staging Accuracy of radiographic staging Mediastinoscopy EUS EBUS Staging TNM Definitions T Stage Size of the Primary Tumor
More informationSigns in Chest Radiology
Signs in Chest Radiology Jonathan H. Chung, MD Disclosures No pertinent disclosures Jonathan H. Chung, MD Assistant Professor Institute t of fadvanced d Biomedical Imaging National Jewish Health Denver,
More informationLung Cancer Screening in the Midwest of the US: When Histoplasmosis Complicates the Picture
Cronicon OPEN ACCESS EC PULMONOLOGY AND RESPIRATORY MEDICINE Case Report Lung Cancer Screening in the Midwest of the US: When Histoplasmosis Complicates the Picture Swan Lee 1 and Rolando Sanchez Sanchez
More informationDifferential Diagnosis in Conventional Radiology
Differential Diagnosis in Conventional Radiology Bearbeitet von Francis A. Burgener, Martti Kormano, Tomi Pudas Neuausgabe 2007. Buch. 872 S. Hardcover ISBN 978 3 13 656103 4 Format (B x L): 21 x 29,7
More informationThe Imaging Analysis of Pulmonary Sarcodiosis
www.cancercellresearch.org ISSN: 2161-2609 Article The Imaging Analysis of Pulmonary Sarcodiosis Xin He, Chuanyu Zhang* Department of Radiology, Affiliated Hospital of Qingdao University, Qingdao, China
More informationRadiological staging of lung cancer. Shukri Loutfi,MD,FRCR Consultant Thoracic Radiologist KAMC-Riyadh
Radiological staging of lung cancer Shukri Loutfi,MD,FRCR Consultant Thoracic Radiologist KAMC-Riyadh Bronchogenic Carcinoma Accounts for 14% of new cancer diagnoses in 2012. Estimated to kill ~150,000
More informationImaging of cardio-pulmonary treatment related damage. Radiotheraphy and Lung
Imaging of cardio-pulmonary treatment related damage Dr. Andrea Borghesi Dr. Emanuele Gavazzi Department of Radiology 2 University of Brescia Radiotheraphy and Lung The goal of radiation therapy (RT) is
More informationLearning Radiology: Recognizing the Basics. Text with Student Consult Online Access Code
Learning Radiology: Recognizing the Basics. Text with Student Consult Online Access Code Herring, W ISBN-13: 9780323074445 Table of Contents 1. Recognizing Anything The "colorful" world of radiology A
More informationSystemic lupus erythematosus (SLE): Pleuropulmonary Manifestations
08/30/10 09/26/10 Systemic lupus erythematosus (SLE): Pleuropulmonary Manifestations Camila Downey S. Universidad de Chile, School of Medicine, Year VII Harvard University, School of Medicine Sept 17,
More informationTUMOR AND TUMOR-LIKE CONDITIONS OF THE PERITONEUM AND OMENTUM/MESENTERY 40 th. Annual Meeting SCBTMR September 9-13, 2017, Nashville, Tennessee
TUMOR AND TUMOR-LIKE CONDITIONS OF THE PERITONEUM AND OMENTUM/MESENTERY 40 th. Annual Meeting SCBTMR September 9-13, 2017, Nashville, Tennessee Isaac R Francis University of Michigan Department of Radiology
More informationLung. 10/24/13 Chest X-ray: 2.9 cm mass like density in the inferior lingular segment worrisome for neoplasm. Malignancy cannot be excluded.
Lung Case Scenario 1 A 54 year white male presents with a recent abnormal CT of the chest. The patient has a history of melanoma, kidney, and prostate cancers. 10/24/13 Chest X-ray: 2.9 cm mass like density
More informationDo you want to be an excellent Radiologist? - Focus on the thoracic aorta on lateral chest image!!!
The lateral chest radiograph: Challenging area around the thoracic aorta!!! Do you want to be an excellent Radiologist? - Focus on the thoracic aorta on lateral chest image!!! Dong Yoon Han 1, So Youn
More informationExam 2 Respiratory Disorders
Exam 2 Respiratory Disorders Common Cold Common Cold Pathology Common Cold Consequences Rhinosinusitis Rhinosinusitis Pathology Rhinosinusitis ostia can close due to Influenza (Flu) Influenza Pathology
More informationCommon things are common, but not always the answer
Kevin Conroy, Joe Mackenzie, Stephen Cowie kevin.conroy@nhs.net Respiratory Dept, Darlington Memorial Hospital, Darlington, UK. Common things are common, but not always the answer Case report Cite as:
More informationSeptember 2014 Imaging Case of the Month. Michael B. Gotway, MD. Department of Radiology Mayo Clinic Arizona Scottsdale, AZ
September 2014 Imaging Case of the Month Michael B. Gotway, MD Department of Radiology Mayo Clinic Arizona Scottsdale, AZ Clinical History: A 57-year-old non-smoking woman presented to her physician as
More informationRadiation Pneumonitis Joseph Junewick, MD FACR
Radiation Pneumonitis Joseph Junewick, MD FACR 03/19/2010 History 16 year old with history of relapsed stage IV-A Hodgkin disease. Prior pulmonary involvement was irradiated. Diagnosis Radiation Pneumonitis
More informationRole of MRI Diffusion in Assessment of Malignant Mediastinal Masses
Med. J. Cairo Univ., Vol. 85, No. 4, June: 1497-1504, 2017 www.medicaljournalofcairouniversity.net Role of MRI Diffusion in Assessment of Malignant Mediastinal Masses YOUSSRIAH Y. SABRI, M.D.*; TAKEYA
More informationCase Scenario 1. The patient agreed to a CT guided biopsy of the left upper lobe mass. This was performed and confirmed non-small cell carcinoma.
Case Scenario 1 An 89 year old male patient presented with a progressive cough for approximately six weeks for which he received approximately three rounds of antibiotic therapy without response. A chest
More informationEvaluation of Neck Mass. Disclosure. Learning Objectives 3/24/2014. Karen T. Pitman MD, FACS Banner MDACC, Gilbert AZ. Nothing to disclose
Evaluation of Neck Mass Karen T. Pitman MD, FACS Banner MDACC, Gilbert AZ Nothing to disclose Disclosure Learning Objectives 1. Describe a systematic method to evaluate a patient with a neck mass 2. Select
More informationTypical and atypical findings of pulmonary sarcoidosis at high resolution CT
Typical and atypical findings of pulmonary sarcoidosis at high resolution CT Poster No.: C-0169 Congress: ECR 2013 Type: Educational Exhibit Authors: L. Raposo Rodríguez, C. Mejía, B. Escobar Mallada,
More informationTB Intensive Houston, Texas
TB Intensive Houston, Texas October 15-17, 17 2013 Diagnosis of TB: Radiology Rosa M Estrada-Y-Martin, MD MSc FCCP October 16, 2013 Rosa M Estrada-Y-Martin, MD MSc FCCP, has the following disclosures to
More informationNon-neoplastic Conditions in the Mediastinum
2017 WCTI Non-neoplastic Conditions in the Mediastinum Mi Young Kim, MD, PhD Hyun Jung Koo, MD Jae Woo Song, MD, PhD Department of Radiology and Research Institute of Radiology Asan Medical Center, University
More informationThoracic Sarcoidosis Imaging Updated: Jul 19, 2013
Thoracic Sarcoidosis Imaging Updated: Jul 19, 2013 Overview Radiography Computed Tomography Magnetic Resonance Imaging Nuclear Imaging Show All Multimedia Library References Overview For patients with
More informationMay 2017 Imaging Case of the Month. Prasad M. Panse, MD and Michael B. Gotway, MD. Department of Radiology Mayo Clinic Arizona Scottsdale, Arizona USA
May 2017 Imaging Case of the Month Prasad M. Panse, MD and Michael B. Gotway, MD Department of Radiology Mayo Clinic Arizona Scottsdale, Arizona USA Clinical History: A 32-year-old man presented for routine
More informationRADIOLOGIC EVALUATION OF PULMONARY NTM INFECTION. Tilman Koelsch, MD National Jewish Health - Department of Radiology
Pr N op ot e fo rty rr o f ep Pr ro es du en ct te io r n RADIOLOGIC EVALUATION OF PULMONARY NTM INFECTION Tilman Koelsch, MD National Jewish Health - Department of Radiology Disclosures None Goals Identify
More informationRespiratory Disease. Dr Amal Damrah consultant Neonatologist and Paediatrician
Respiratory Disease Dr Amal Damrah consultant Neonatologist and Paediatrician Signs and Symptoms of Respiratory Diseases Cardinal Symptoms Cough Sputum Hemoptysis Dyspnea Wheezes Chest pain Signs and Symptoms
More informationGuide to thoracic imaging
FOCUS Guide to thoracic imaging Sarah Skinner Background Thoracic imaging is commonly ordered in general practice. Guidelines exist for ordering thoracic imaging but few are specific for general practice.
More informationPET CT for Staging Lung Cancer
PET CT for Staging Lung Cancer Rohit Kochhar Consultant Radiologist Disclosures Neither I nor my immediate family members have financial relationships with commercial organizations that may have a direct
More informationFinancial disclosure COMMON DIAGNOSES IN HRCT. High Res Chest HRCT. HRCT Pre test. I have no financial relationships to disclose. Anatomy Nomenclature
Financial disclosure I have no financial relationships to disclose. Douglas Johnson D.O. Cardiothoracic Imaging Gaston Radiology COMMON DIAGNOSES IN HRCT High Res Chest Anatomy Nomenclature HRCT Sampling
More informationThoracic sarcoidosis: Pictoral review of typical and atypical findings
Thoracic sarcoidosis: Pictoral review of typical and atypical findings Poster No.: C-0804 Congress: ECR 2010 Type: Educational Exhibit Topic: Chest Authors: A. Ferreira, J. Calha; Lisbon/PT Keywords: Sarcoidosis,
More informationPulmonary fibrosis on the lateral chest radiograph: Kerley D lines revisited
Insights Imaging (2017) 8:483 489 DOI 10.1007/s13244-017-0565-2 PICTORIAL REVIEW Pulmonary fibrosis on the lateral chest radiograph: Kerley D lines revisited Daniel B. Green 1 & Alan C. Legasto 1 & Ian
More informationHRCT in Diffuse Interstitial Lung Disease Steps in High Resolution CT Diagnosis. Where are the lymphatics? Anatomic distribution
Steps in High Resolution CT Diagnosis Pattern of abnormality Distribution of disease Associated findings Clinical history Tomás Franquet MD What is the diagnosis? Hospital de Sant Pau. Barcelona Secondary
More informationAPPROACH TO PLEURAL EFFUSIONS. Raed Alalawi, MD, FCCP
APPROACH TO PLEURAL EFFUSIONS Raed Alalawi, MD, FCCP CASE 65-year-old woman with H/O breast cancer presented with a 1 week H/O progressively worsening exersional dyspnea. Physical exam: Diminished breath
More informationFDG PET/CT in Lung Cancer Read with the experts. Homer A. Macapinlac, M.D.
FDG PET/CT in Lung Cancer Read with the experts Homer A. Macapinlac, M.D. Patient with suspected lung cancer presents with left sided chest pain T3 What is the T stage of this patient? A) T2a B) T2b C)
More informationPET/CT and PET/MR of Cardiac Tumors
PET/CT and PET/MR of Cardiac Tumors Andrew W. Bowman, MD PhD Assistant Professor of Radiology Mayo Clinic Florida NASCI Annual Meeting San Antonio, TX Oct 9, 2017 2017 MFMER slide-1 Disclosures No financial
More informationCALGARY ZONE PULMONARY REFERRAL QUICK REFERENCE
CALGARY ZONE PULMONARY REFERRAL QUICK REFERENCE EMERGENCY (Patient needs to be seen immediately) Hemoptysis (Active & 2 TBSP per day) Hypoxemia (if resting O2 SAT 85%) Pulmonary embolism (Acute - known
More informationThe use of advanced imaging in the diagnosis of TB. Pierre Goussard, Robert Gie Tygerberg Children`s Hospital and University of Stellenbosch
The use of advanced imaging in the diagnosis of TB Pierre Goussard, Robert Gie Tygerberg Children`s Hospital and University of Stellenbosch Imaging Bronchoscopy Tracheo-bronchograms Chest CT-scan Ultrasound
More informationB-I-2 CARDIAC AND VASCULAR RADIOLOGY
(YEARS 1 3) CURRICULUM FOR RADIOLOGY 13 B-I-2 CARDIAC AND VASCULAR RADIOLOGY KNOWLEDGE To describe the normal anatomy of the heart and vessels including the lymphatic system as demonstrated by radiographs,
More informationENTEROCOLITIDES CAN YOU TELL THEM APART ON MDCT? Richard M. Gore, MD North Shore University Medical Center University of Chicago Evanston, Illinois
ENTEROCOLITIDES CAN YOU TELL THEM APART ON MDCT? Richard M. Gore, MD North Shore University Medical Center University of Chicago Evanston, Illinois SCBT/MR 2010 San Diego, California March 8, 2010 13:40-14:00
More informationRole of MDCT in Diagnosis of Different Calcified Chest Lesions
Med. J. Cairo Univ., Vol. 85, No. 3, June: 1127-1131, 2017 www.medicaljournalofcairouniversity.net Role of MDCT in Diagnosis of Different Calcified Chest Lesions YOUSSRIAH Y. SABRI, M.D.*; TAKEYA TAYMOUR,
More informationAmerican College of Radiology ACR Appropriateness Criteria
American College of Radiology ACR Criteria Radiologic Management of Thoracic Nodules and Masses Variant 1: Middle-aged patient (35 60 years old) with an incidental 1.5-cm lung nodule. The lesion was smooth.
More informationPediatric TB Intensive Houston, Texas October 14, 2013
Pediatric TB Intensive Houston, Texas October 14, 2013 Radiologic Presentation of Childhood TB Susan D. John, MD, FACR October 14, 2013 Disclosures I have no disclosures or conflicts of interest to report
More informationInterpreting thoracic x-ray of the supine immobile patient: Syllabus
Interpreting thoracic x-ray of the supine immobile patient: Syllabus Johannes Godt Dep. of Radiology and Nuclear Medicine Oslo University Hospital Ullevål NORDTER 2017, Helsinki Content - Why bedside chest
More informationIntroduction to Chest Radiography
Introduction to Chest Radiography RSTH 366: DIAGNOSTIC TECHNIQUES Alan Alipoon BS, RCP, RRT Instructor Department of Cardiopulmonary Sciences 1 Introduction Discovered in 1895 by Wilhelm Roentgen Terminology
More informationEndobronchial Ultrasound in the Diagnosis & Staging of Lung Cancer
Endobronchial Ultrasound in the Diagnosis & Staging of Lung Cancer Dr Richard Booton PhD FRCP ESMO-Christie Lung Cancer Course Manchester 2017 Overview What is Endobronchial Ultrasound? Why & When Do We
More informationRole of MRI Diffusion in Assessment of Mediastinal Lymphadenopathy
Med. J. Cairo Univ., Vol. 85, No. 3, June: 925-931, 2017 www.medicaljournalofcairouniversity.net Role of MRI Diffusion in Assessment of Mediastinal Lymphadenopathy YOUSSRIAH Y. SABRI, M.D.*; MARIAN FAYEK,
More informationSESSION IV: MECHANISMS OF HUMAN DISEASE: LABORATORY SESSIONS PULMONARY PATHOLOGY I. December 5, 2012
SESSION IV: MECHANISMS OF HUMAN DISEASE: LABORATORY SESSIONS PULMONARY PATHOLOGY I December 5, 2012 FACULTY COPY GOAL: Describe the basic morphologic and pathophysiologic changes in various conditions
More informationRole of CT imaging to evaluate solitary pulmonary nodule with extrapulmonary neoplasms
Original Research Article Role of CT imaging to evaluate solitary pulmonary nodule with extrapulmonary neoplasms Anand Vachhani 1, Shashvat Modia 1*, Varun Garasia 1, Deepak Bhimani 1, C. Raychaudhuri
More informationEducational Objectives. Managing Lung Cancer From the Solitary Pulmonary Nodule to Complex Cases: A Multidisciplinary Approach.
Managing Lung Cancer From the Solitary Pulmonary Nodule to Complex Cases: A Multidisciplinary Approach Robert A. Meguid, MD, MPH, FACS Assistant Professor of Cardiothoracic Surgery Surgical Director, Surgical
More information4/17/2010 C ini n ca c l a Ev E a v l a ua u t a ion o n of o ILD U dat a e t e i n I LDs
Update in ILDs Diagnosis 101: Clinical Evaluation April 17, 2010 Jay H. Ryu, MD Mayo Clinic, Rochester MN Clinical Evaluation of ILD Outline General aspects of ILDs Classification of ILDs Clinical evaluation
More informationProceedings of the World Small Animal Veterinary Association Sydney, Australia 2007
Proceedings of the World Small Animal Sydney, Australia 2007 Hosted by: Next WSAVA Congress THE LAST GASP II: LUNGS AND THORAX David Holt, BVSc, Diplomate ACVS University of Pennsylvania School of Veterinary
More informationCase 1. A 35-year-old male presented with fever, cough, and purulent sputum for one week. This was his CXR (Fig. 1.1). What is the diagnosis?
1 Interpreting Chest X-Rays CASE 1 Fig. 1.1 Case 1. A 35-year-old male presented with fever, cough, and purulent sputum for one week. This was his CXR (Fig. 1.1). What is the diagnosis? CASE 1 Interpreting
More informationPictorial essay of unusual radiologic manifestations of pulmonary and airway metastasis at initial presentation of lung cancer
Pictorial essay of unusual radiologic manifestations of pulmonary and airway metastasis at initial presentation of lung cancer Poster No.: C-2297 Congress: ECR 2012 Type: Educational Exhibit Authors: Y.
More informationWhen to suspect Wegener Granulomatosis: A radiologic review
When to suspect Wegener Granulomatosis: A radiologic review Poster No.: P-0038 Congress: ESTI 2015 Type: Educational Poster Authors: A. Tilve Gómez, R. Díez Bandera, P. Rodríguez Fernández, M. Garcia Vazquez-Noguerol,
More information11/10/2014. Multi-disciplinary Approach to Diffuse Lung Disease: The Imager s Perspective. Radiology
Multi-disciplinary Approach to Diffuse Lung Disease: The Imager s Perspective Radiology Pathology Clinical 1 Role of HRCT Diagnosis Fibrosis vs. inflammation Next step in management Response to treatment
More informationARDS - a must know. Page 1 of 14
ARDS - a must know Poster No.: C-1683 Congress: ECR 2016 Type: Authors: Keywords: DOI: Educational Exhibit M. Cristian; Turda/RO Education and training, Edema, Acute, Localisation, Education, Digital radiography,
More informationEndobronchial Ultrasound in the Diagnosis & Staging of Lung Cancer
Endobronchial Ultrasound in the Diagnosis & Staging of Lung Cancer Dr Richard Booton PhD FRCP Lead Lung Cancer Clinician, Consultant Respiratory Physician & Speciality Director Manchester University NHS
More informationPulmonary Manifestations Of Skeletal Disorders
Pulmonary Manifestations Of Skeletal Disorders U. A. Saeed, MBBS FCPS, J. Nair, MBBS MD, R. Khosla, MD FRCR, K. Sayegh, MD FRCPC, J. Kosiuk, MD FRCPC, J. Taylor, MD FRCPC; Department of Radiology, McGill
More informationSectional Anatomy Quiz - III
Sectional Anatomy - III Rashid Hashmi * Rural Clinical School, University of New South Wales (UNSW), Wagga Wagga, NSW, Australia A R T I C L E I N F O Article type: Article history: Received: 30 Jun 2018
More informationHYPERSENSITIVITY PNEUMONITIS
HYPERSENSITIVITY PNEUMONITIS A preventable fibrosis MOSAVIR ANSARIE MB., FCCP INTERSTITIAL LUNG DISEASES A heterogeneous group of non infectious, non malignant diffuse parenchymal disorders of the lower
More informationLooking Outside the Box: Incidental Extracardiac Finding in Echo
Looking Outside the Box: Incidental Extracardiac Finding in Echo Dr. Aijaz Shah Head of Division, Adult Echocardiography Laboratory Prince Sultan Cardiac Centre Riyadh Case 1 17 year old boy presented
More information