Abstract
Chest X-ray terminology is another great example of how words can be confusing. Even radiologists use different terms to mean different things, so don’t stress! “Airspace disease” is the same as “alveolar disease” and may overlap with “infiltrate” or the more dense “consolidation.” The differential for airspace disease is blood, pus, water, cells, or atelectasis. Classically, viral pneumonias are interstitial, bacterial pneumonias are alveolar, and fungal pneumonias are nodular. Pulmonary edema is often the same as congestive heart failure, pulmonary venous congestion, or pulmonary venous hypertension. Have a heart! Any change in shape or blurring of the heart border is abnormal, and an understanding of basic anatomy will help you reach a conclusion. In addition to these topics, this chapter will review a handful of pathologies and their classic CT and chest x-ray imaging features, so you are prepared for your first night on-call or clinical rounds.
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References
de Lacey GG, Morley S, Berman L. The chest X-ray: a survival guide. Philadelphia: Saunders Elsevier; 2008.
Hunter TB, Taljanovic MS, Tsau PH, Berger WG, Standen JR. Medical devices of the chest. RadioGraphics. 2004;24(6):1725–46. Available from: https://pubs.rsna.org/doi/full/10.1148/rg.246045031.
Statdx. Elsevier; 2020. Secondary spontaneous pneumothorax; 15 Mar 2012. Available from: https://app.statdx.com/document/pneumothorax-secondary-spontaneous/2cad40ed-207c-4895-a3e8-c8bc02191844?searchTerm=secondary%20spontaneous%20pneumothorax.
Statdx. Elsevier; 2020. Pneumothorax; 11 Dec 2012. Available from: https://app.statdx.com/document/pneumothorax/96c11791-5b2e-486d-b10e-ecfe9444f0e3?searchTerm=pneumothorax.
Statdx. Elsevier; 2020. Primary spontaneous pneumothorax; 20 Apr 2016. Available from: https://app.statdx.com/document/pneumothorax-primary-spontaneous/eb1b4e8a-d718-45c8-9935-34da254c9af3?searchTerm=primary%20spontaneous%20pneumothorax.
Webb WR, Brant WE, Major NM. Fundamentals of body CT. 5th ed. St Louis: Elsevier; 2020.
Statdx. Elsevier; 2020. S-Sign of golden; 25 Aug 2015. Available from: https://app.statdx.com/document/s-sign-ofgolden/da68862e-9a65-4967-8dfb-0b7028521327?searchTerm=s%20sign%20of%20golden.
Walker CM, Abbott GF, Greene RE, Shepard JO, Vummidi D, Digumarthy SR. Imaging pulmonary infection: classic signs and patterns. AJR. 2014;202(3):479–92. Available from: https://www.ajronline.org/doi/full/10.2214/AJR.13.11463.
Medjek M, Hackx M, Ghaye B, De Maertelaer V, Gevenois PA. Value of the "spine sign" on lateral chest views. Br J Radiol. 2015;88(1050):1–6. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4628440/.
Lange S, Walsh G. Radiology of chest diseases. 3rd ed. New York: Thieme; 2007.
Gluecker T, Capasso P, Schnyder P, Gudinchet F, Schaller MD, Revelly JP, Chiolero R, Covk P, Wicky S. Clinical and radiologic features of pulmonary edema. RadioGraphics. 1999;19(6):1507–31. Available from: https://pubs.rsna.org/doi/full/10.1148/radiographics.19.6.g99no211507.
Loyd JE, Newman JH, Brigham KL. Permeability pulmonary edema: diagnosis and management. Arch Intern Med. 1984;144(1):143–7. Available from: https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/604019.
Guo J, Liang C, Sun Y, Zhou N, Liu Y, Chu X. Lung cancer presenting as thin-walled cysts: an analysis of 15 cases and review of literature. Asia Pac J Clin Oncol. 2016;12:105–12. https://doi.org/10.1111/ajco.12126.
Parkar AP, Kandiah P. Differential diagnosis of cavitary lung lesions. J Belg Soc Radiol. 2016;100(1):1–8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6100641/.
Robertson RJ. Imaging in the evaluation of emphysema. Thorax. 1999;54(5):377–9. https://doi.org/10.1136/thx.54.5.379.
Catalano O. The incomplete border sign. Radiology. 2002;225(1):129–30. https://doi.org/10.1148/radiol.2251010926.
Wang ZJ, Reddy GP, Gotway MB, et al. Malignant pleural mesothelioma: evaluation with CT, MR imaging, and PET. Radiographics. 2004;24(1):105–19. https://doi.org/10.1148/rg.241035058.
Wittram C, Maher MM, Yoo AJ, Kalra MK, Shepard JO, McLoud TC. CT angiography of pulmonary embolism: diagnostic criteria and causes of misdiagnosis. RadioGraphics. 2004;24(5):1219–38. Avaliable from: https://pubs.rsna.org/doi/full/10.1148/rg.245045008
Kang DK, Thilo C, Schoepf UJ, et al. CT signs of right ventricular dysfunction: prognostic role in acute pulmonary embolism. JACC Cardiovasc Imaging. 2011;4(8):841–9.
Torres-Ayala SC, Santacana-Laffitte G, Maldonado J. Radiography of cardiac conduction devices: a pictorial review of pacemakers and implantable cardioverter defibrillators. J Clin Imaging Sci. 2014;4(4):1–7. https://doi.org/10.4103/2156-7514.148269.
Brant WE, Helms CA. Fundamentals of diagnostic radiology. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.
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Cain, N. (2021). Chest X-Ray and Chest CT. In: Amalou, H., Suh, R.D., Wood, B.J. (eds) The Radiology Survival Kit. Springer, Cham. https://doi.org/10.1007/978-3-030-84365-6_4
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