Case Studies in Chest Imaging by Rita Joarder

By Rita Joarder

Case stories in Chest Imaging is a set of a hundred genuine circumstances, which display using glossy imaging options and illustrate the ideal use of imaging within the research of pathology. Compiled through specialists within the box, Case stories in Chest Imaging makes use of the main updated and top of the range pictures, together with simple movies, common Multi Slice and excessive answer Thoracic CT scans. each one case is gifted in a pedagogical kind, with 1-4 pictures and accompanying questions, by means of solutions and additional correct pictures. this can be then augmented through an evidence of the imaging and key educating issues with references for extra interpreting, making this ebook a necessary studying consultant in an available shape for breathing and acute physicians, and radiologists in training.

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Key Points › › Image 3 Tracheal deviation is an important sign of mediastinal pathology. Oesophageal malignancy may invade anteriorly into the mediastinum. Case 7 A 17-year-old male 1 week prior to admission had sustained a fracture to his left humerus following a road traffic accident. He subsequently presented acutely with increasing left-sided chest pain and shortness of breath. On examination, there were reduced air sounds at the left base and he was hypotensive. A CXR was performed in the emergency department (Image 1).

What has happened between Images 1 and 2a, b? 4. How do the coronal and sagittal reconstructions help and what is the cause for the appearances? Image 1 R. Joarder, N. 1007/978-0-85729-838-6_7, © Springer-Verlag London Limited 2012 23 24 a Case Studies in Chest Imaging b Image 2 a Image 3 b 25 Case 7 Answers 1. The CXR shows the stomach (circle Image 4) occupying the lower zone of the left hemithorax with compression of adjacent lung. There is a small amount of mediastinal shift to the right (arrows Image 4).

6 cm rounded density seen projecting adjacent to the aortic knuckle in the left hemithorax. This contains patchy calcification. No other significant abnormality is seen. The features are those of a pulmonary hamartoma. 2. No further action is required. The so-called popcorn calcification is essentially diagnostic (arrow Image 2). In this case, the patient had had a previous CXR some 6 years before. The lesion showed minimal change. Pulmonary hamartomas are usually solitary very slowgrowing abnormalities.

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