Explanation of the anatomy of the mediastinum and a systematic approach to reading chest radiographs.
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The appearance of community acquired pneumonia on CXR. Link to the Google Drive Presentation: https://docs.google.com/presentation/d/1mQaP0-jSG6Dj9LPHk6L5913Lu7yTlVEZjK_t8f9xELg/edit?usp=sharing
Quick tutorial on how to evaluate ET tubes on chest radiography.
Here are the 5 ways to distinguish which side of the diaphragm is which on the lateral CXR: 1. The stomach bubble and splenic flexure of the colon are below the left. 2. The right hemidiaphragm is usually higher than the left. 3. The left hemidiaphragm is obscured by the heart anteriorly. 4. The right hemidiaphragm terminates posteriorly by the larger right ribs., 5. Look for pathology.
This is for first year residents, starting out on their chest rotation. This is the order in which I read a chest CT. When you first start out, it is important to stick to a script so that you read studies the same way each time. It may be beneficial to have a checklist that you follow to make sure you aren't missing anything.
How to find the lobar and segmental bronchi on axial CT. This video is meant for radiology residents, but would benefit thoracic surgery residents and pulmonary medicine fellows as well.
Check out the IASLC lymph node map here: https://www.iaslc.org/Portals/0/35348-cards-erx_combined_trap_card2_copy.pdf?ver=2019-05-22-154420-740 Check out the Radiographics article I mentioned here: https://pubs.rsna.org/doi/full/10.1148/rg.346130097
Short description of the anatomy of the secondary pulmonary lobule. Check out this article for more information on this topic: https://www.ncbi.nlm.nih.gov/pubmed/16543587
Great article: https://www.ncbi.nlm.nih.gov/pubmed/16537886
Acute consolidation has a pretty short differential. When a consolidation becomes chronic, you have to widen your differential. This video will help you form a short but powerful differential for a chronic consolidation with the mnemonic SPACE-V. Here are my references which I highly recommend you check out: https://pubmed.ncbi.nlm.nih.gov/31200867/ https://pubmed.ncbi.nlm.nih.gov/18716117/ https://pubmed.ncbi.nlm.nih.gov/17495282/ https://pubmed.ncbi.nlm.nih.gov/20413748/ https://www.flickr.com/photos/pulmonary_pathology/
Here are 4 findings you have to recognize and classify to understand ILD. Ground glass opacity Reticulation Traction Bronchiectasis Honeycombing Here's the link to the Fleischner Glossary: https://pubs.rsna.org/doi/10.1148/radiol.2462070712
This is a description of subsolid nodules, what they are and why we treat them differently from solid nodules. Here are some of the references I used in this article: The revised lung adenocarcinoma classification—an imaging guide https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4209391/ CT screening for lung cancer: frequency and significance of part-solid and nonsolid nodules https://www.ajronline.org/doi/full/10.2214/ajr.178.5.1781053 Guidelines for Management of Incidental Pulmonary Nodules Detected on CT Images: From the Fleischner Society 2017 https://pubs.rsna.org/doi/10.1148/radiol.2017161659 LungRADS 1.1 https://www.acr.org/-/media/ACR/Files/RADS/Lung-RADS/LungRADSAssessmentCategoriesv1-1.pdf=la=en
Board review for thoracic radiology. View my slides here: https://docs.google.com/presentation/d/1aRlsYsQN0z-EnczFofIw7oGxJmAVCyb4oPuIv6fCeFQ/edit?usp=sharing
This video goes over the CT signs of right heart strain that can be seen with acute pulmonary embolism. I describe and show examples of RV enlargement, septal bowing/flattening, pulmonary artery enlargement, and reflux of contrast into the IVC.
Here's my differential for upper lung predominant pulmonary fibrosis: SHORTI: Sarcoid Hypersensitivity pneumonitis (chronic) Occupational pneumoconioses (silicosis, coal worker's, berylliosis) Radiation fibrosis TB and fungus Idiopathic pleuroparenchymal fibroelastosis
In this video, I talk about a different way to study. It is centered around the idea of a mental checklist based on the clinical history of the patient.
Here's how you can always tell the difference between a pneumothorax and a skin fold. Don't make this mistake!
Just a quick video explaining the difference between the terms lung collapse and pneumothorax.
In this video, I go over how to tell the position of a central line. The central venous anatomy and landmarks are reviewed. Common positions of malpositioned lines are reviewed. Also, since more than 60% of you are viewing on mobile, I decided to make this a vertical video. Let me know how you like it.
The radiographic appearance of pneumomediastinum and common clinical scenarios where you will see pneumomediastinum. Two articles mentioned in this video: Incidence, risk factors and outcome of barotrauma in mechanically ventilated patients https://pubmed.ncbi.nlm.nih.gov/14991090/ Pneumomediastinum and subcutaneous emphysema in COVID-19: barotrauma or lung frailty? https://pubmed.ncbi.nlm.nih.gov/33257914/
What is a lung nodule? And what does it mean if I have one?
View this case on pacsbin: https://www.pacsbin.com/c/b1rwvjTcgv This is a classic case of sarcoid with bilateral, symmetric hilar and mediastinal lymph node enlargement and a perilymphatic distribution of pulmonary nodules.
View this case on pacsbin: https://www.pacsbin.com/c/-10C3Xboxw A case of pulmonary mucor. The reverse halo sign is a good sign of pulmonary mucor in a patient with the appropriate risk factors.