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Pathology of lung
NORMAL CHEST X-RAY <ul><li>L- Lung </li></ul><ul><li>T- Trachea </li></ul><ul><li>AK- Aortic Knob </li></ul><ul><li>A- Asc...
CONSOLIDATION <ul><li>Lobar or Segmental Density    </li></ul><ul><li>Air Bronchogram </li></ul><ul><li>No Loss of Lung Vo...
CONSOLIDATION <ul><li>Density in left lower lung field  </li></ul><ul><li>Loss of left heart silhouette  </li></ul><ul><li...
CONSOLIDATION <ul><li>Density in right upper lung field  </li></ul><ul><li>Lobar density  </li></ul><ul><li>Loss of ascend...
PLEURAL EFFUSION <ul><li>Fluid accumulates in the pleural space. </li></ul><ul><li>Radiological criteria  are:  </li></ul>...
The silhouette sign <ul><li>loss of an interface by adjacent disease and permits localization of a lesion on a film by stu...
PLEURAL EFFUSION <ul><li>Homogenous density  </li></ul><ul><li>Meniscus maximum in axilla  </li></ul><ul><li>Loss of cardi...
MASSIVE  PLEURAL EFFUSION <ul><li>Massive  </li></ul><ul><li>Shift of mediastinum   </li></ul>
LOCULATED PLEURAL EFFUSION <ul><li>Homogenous density  </li></ul><ul><li>Loculated  </li></ul><ul><li>Loss of cardiophreni...
ATELECTASIS <ul><li>loss of air in the alveoli; alveoli devoid of air  </li></ul><ul><li>Increased  density, Signs indicat...
SIGNS OF ATELECTASIS <ul><li>Generalized   </li></ul><ul><li>Shift of mediastinum </li></ul><ul><li>Elevation of diaphragm...
Cont… <ul><li>Compensatory Hyperinflation  </li></ul><ul><li>Alterations in Proportion of Left and Right Lung  </li></ul><...
ATELECTASIS RIGHT LUNG <ul><li>Homogenous density right hemithorax  </li></ul><ul><li>Mediastinal shift to right  </li></u...
LEFT LOWER LOBE ATELECTASIS <ul><li>Inhomogeneous cardiac density  </li></ul><ul><li>Left hilum pulled down  </li></ul><ul...
Rt UL COLLAPSE
RT MID LOBE
FIBROSIS <ul><li>Diffuse haziness  </li></ul><ul><li>Apical cap thickening  </li></ul><ul><li>Blunting of costophrenic ang...
PLEURAL FIROSIS <ul><li>Small right hemithorax  </li></ul><ul><li>Diffuse haziness  </li></ul><ul><li>Tracheal shift to ri...
TUBERCULOSIS <ul><li>LUL cavities  </li></ul><ul><li>RUL infiltrate   </li></ul><ul><li>Bilateral upper lobe disease  </li...
TUERCULOSIS <ul><li>LUL cavity  </li></ul><ul><li>Cavity behind clavicle - note increased density of clavicle in the regio...
 
Fungal ball
MILIARY TUBERCULOSIS <ul><li>Interstitial nodules  </li></ul><ul><ul><li>Uniform size  </li></ul></ul><ul><ul><li>Sharper ...
PNEUMOTHORAX <ul><li>Air (black) in pleural space.  With No lung markings  </li></ul><ul><li>Recognition of atelectatic lu...
PNEUMOTHORAX <ul><li>No vascular markings on right  </li></ul><ul><li>No shift of mediastinum to left  </li></ul><ul><li>D...
TENSION PNEUMOTHORAX <ul><li>No vascular markings on right  </li></ul><ul><li>Shift of mediastinum to left  </li></ul><ul>...
HYDROPNEUMOTHORAX <ul><li>Air in pleural cavity  </li></ul><ul><li>Lung margin visible  </li></ul><ul><li>Bilateral fluid ...
LUNG CANCER <ul><li>Squamous cell   </li></ul><ul><ul><li>Large mass  </li></ul></ul><ul><ul><ul><li>Cavitation  </li></ul...
<ul><li>Small cell   </li></ul><ul><ul><li>Insignificant lung lesion  </li></ul></ul><ul><ul><li>Massive mediastinal adeno...
ALVEOLAR CELL CARCINOMA <ul><li>Alveolar Cell Carcinoma / Solitary Pulmonary Nodule </li></ul><ul><li>LUL anterior segment...
PANCOAST TUMOUR <ul><li>Right apical mass  </li></ul><ul><li>Cavitating mass  </li></ul><ul><li>Para tracheal nodes  </li>...
LARGE CELL CANCER <ul><li>Large Cell Cancer </li></ul><ul><li>Mass RUL  </li></ul>
LUNG  MASS <ul><li>Mass   </li></ul><ul><li>Round or oval  </li></ul><ul><li>Sharp margin  </li></ul><ul><li>Homogenous  <...
LUNG  ABSCESS <ul><li>Lung Abscess   </li></ul><ul><li>Bilateral  </li></ul><ul><li>Multiple  </li></ul><ul><li>Fluid leve...
LUNG  ABSCESS <ul><li>Lung Abscess </li></ul><ul><li>Anterior segment of LUL  </li></ul><ul><li>Atypical location for aspi...
PULMOARY  EDEMA <ul><li>Pulmonary Edema Acute Diffuse Alveolar   </li></ul><ul><li>Bilateral  </li></ul><ul><li>Diffuse  <...
EMPHYSEMA <ul><li>Alpha 1 Anti-Trypsin Deficiency </li></ul><ul><li>Hyperinflation </li></ul><ul><li>Hyperlucency  </li></...
<ul><li>SOME D/D </li></ul>
MULTIPLE NODULES OR MASS >3 CM <ul><li>M ets/Carcinoma/Lymphoma </li></ul><ul><li>T B/granuloma </li></ul><ul><li>W egener...
 
COIN LESION <3 CM <ul><li>C arcinoma/Congenital </li></ul><ul><li>H amartoma/Hematoma </li></ul><ul><li>A VM/Abscess </li>...
 
 
CAVITY <ul><li>C arcinoma-SCC </li></ul><ul><li>A bscess-fungal/bacterial/TB </li></ul><ul><li>V ascular-septic emboli </l...
 
UNILATERAL HYPERLUCENT LUNG <ul><li>P oland syndrome/Pneumothorax </li></ul><ul><li>O ligemia/Obstruction (PE) </li></ul><...
E mphysema
Anterior Mediastinal Masses   <ul><li>1. Thymoma  </li></ul><ul><li>2. Teratoma  </li></ul><ul><li>3. Substernal thyroid  ...
Opacified Hemithorax   <ul><li>1. Atelectasis  </li></ul><ul><li>2. Pleural effusion </li></ul><ul><li>3. Pneumonia  </li>...
 
Large Cavitary Lung Lesions   <ul><li>1. Abscess  </li></ul><ul><li>2. Carcinoma  </li></ul><ul><li>3. TB </li></ul>
Bronchogenic Carcinoma
Upper Lobe Disease   <ul><li>1. TB (2° TB)  </li></ul><ul><li>2. Silicosis </li></ul><ul><li>3. Eosinophilic granuloma  </...
<ul><li>Micronodular Lung Disease   </li></ul><ul><li>1. Mets </li></ul><ul><li>2. Sarcoid  </li></ul><ul><li>3. Pneumocon...
Micronodular Lung Disease-  Sarcoid
<ul><li>Small Cavitary Lung Lesions </li></ul><ul><li>1. Septic emboli  </li></ul><ul><li>2. Rheumatoid nodules  </li></ul...
 
<ul><li>Multiple Lung Nodules   </li></ul><ul><li>1. Mets  </li></ul><ul><li>2. Wegener’s granulomatosis  </li></ul><ul><l...
 
<ul><li>Pulmonary Interstitial Edema   </li></ul><ul><li>1. CHF </li></ul><ul><li>2. Lymphangitic spread </li></ul><ul><li...
CHF
<ul><li>Unilateral Hyperlucent Lung   </li></ul><ul><li>1. Mcleod’s syndrome  </li></ul><ul><li>2. Pulmonary embolism  </l...
p/o FB
<ul><li>Cavitating Pneumonia   </li></ul><ul><li>1. Staph  </li></ul><ul><li>2. Strep </li></ul><ul><li>3. TB  </li></ul><...
Staph
<ul><li>Middle Mediastinal Masses   </li></ul><ul><li>1. Lymphadenopathy  </li></ul><ul><li>2. Aneurysms  </li></ul><ul><l...
Bronchogenic cysts
<ul><li>Hilar Adenopathy   </li></ul><ul><li>1. Sarcoid </li></ul><ul><li>2. TB  </li></ul><ul><li>3. Lymphoma  </li></ul>...
Sarcoid
<ul><li>Cavities Containing Masses   </li></ul><ul><li>1. Aspergillosis  </li></ul><ul><li>2. Cavitating bronchogenic ca <...
Aspergillosis
<ul><li>Solitary Pulmonary Nodule   </li></ul><ul><li>1. Bronchogenic ca  </li></ul><ul><li>2. Hamartoma  </li></ul><ul><l...
Hamartoma
Pleural Effusion   1. CHF 2. Mets 3. Pancreatitis 4. Pulmonary embolism 5. Trauma 6. Empyema 7. Collagen vascular 8. Ovari...
CCF
<ul><li>Left-sided Pleural Effusion   </li></ul><ul><li>1. Dissecting aortic aneurysm </li></ul><ul><li>2. Pancreatitis  <...
Dissecting aortic aneurysm
<ul><li>Posterior Mediastinal Masses   </li></ul><ul><li>1. Neurogenic tumors  </li></ul><ul><li>2. Lymphadenopathy  </li>...
 
<ul><li>Lung Disease & Rib Destruction   </li></ul><ul><li>1. Bronchogenic ca, i.e Pancoast tumor </li></ul><ul><li>2. Act...
 
<ul><li>Unilateral Pulmonary Edema   </li></ul><ul><li>1. Aspiration </li></ul><ul><li>2. Disease in other lung, e.g. COPD...
Unilateral Pulmonary Edema
<ul><li>Reverse “Pulmonary Edema” </li></ul><ul><li>1. Eosinophilic lung disease, e.g. Loeffler’s </li></ul><ul><li>2. Sar...
<ul><li>DIAGNOSIS PLEASE </li></ul>
 
<ul><li>RT ML CONSOLIDATION </li></ul>
 
<ul><li>CANNON BALL METZ </li></ul>
 
<ul><li>ABSCESS </li></ul>
 
<ul><li>LT UL CONSLIDATION </li></ul>
 
<ul><li>BRONCHIECTASIS </li></ul>
 
<ul><li>OS METZ </li></ul>
<ul><li>Thank you </li></ul>
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Chest x ray pathology

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Transcript of "Chest x ray pathology"

  1. 1. Pathology of lung
  2. 2. NORMAL CHEST X-RAY <ul><li>L- Lung </li></ul><ul><li>T- Trachea </li></ul><ul><li>AK- Aortic Knob </li></ul><ul><li>A- Ascending Aorta </li></ul><ul><li>H- Heart </li></ul><ul><li>R- Ribs </li></ul><ul><li>P- Pulmonary Artery </li></ul><ul><li>S- Spleen </li></ul>
  3. 3. CONSOLIDATION <ul><li>Lobar or Segmental Density   </li></ul><ul><li>Air Bronchogram </li></ul><ul><li>No Loss of Lung Volume </li></ul>
  4. 4. CONSOLIDATION <ul><li>Density in left lower lung field </li></ul><ul><li>Loss of left heart silhouette </li></ul><ul><li>Diaphragmatic silhouette intact </li></ul><ul><li>No shift of mediastinum </li></ul><ul><li>Blunting of costophrenic angle </li></ul>
  5. 5. CONSOLIDATION <ul><li>Density in right upper lung field </li></ul><ul><li>Lobar density </li></ul><ul><li>Loss of ascending aorta silhouette </li></ul><ul><li>No shift of mediastinum </li></ul><ul><li>Transverse fissure not significantly shifted </li></ul><ul><li>Air bronchogram </li></ul>
  6. 6. PLEURAL EFFUSION <ul><li>Fluid accumulates in the pleural space. </li></ul><ul><li>Radiological criteria are: </li></ul><ul><li>Increased Density </li></ul><ul><li>In dependent portion </li></ul><ul><ul><li>Costophrenic angle in PA view </li></ul></ul><ul><ul><li>Along sides in lateral decubitus position </li></ul></ul><ul><ul><li>Along posteriorly in supine position, giving diffuse haziness on the side of effusion </li></ul></ul><ul><li>Blunting of costophrenic angle  </li></ul><ul><li>Lack of identifiable diaphragm  (silhouette sign principle). </li></ul>
  7. 7. The silhouette sign <ul><li>loss of an interface by adjacent disease and permits localization of a lesion on a film by studying the diaphragm, cardiac and aortic outlines. </li></ul><ul><li>if the border is retained -the abnormality is superimposed, the lesion must he lying either anterior or posterior. </li></ul>
  8. 8. PLEURAL EFFUSION <ul><li>Homogenous density </li></ul><ul><li>Meniscus maximum in axilla </li></ul><ul><li>Loss of cardiophrenic angle </li></ul><ul><li>Loss of diaphragmatic and right cardiac silhouette </li></ul>
  9. 9. MASSIVE PLEURAL EFFUSION <ul><li>Massive </li></ul><ul><li>Shift of mediastinum </li></ul>
  10. 10. LOCULATED PLEURAL EFFUSION <ul><li>Homogenous density </li></ul><ul><li>Loculated </li></ul><ul><li>Loss of cardiophrenic angle </li></ul><ul><li>Loss of lateral portion of  diaphragmatic  silhouette </li></ul>
  11. 11. ATELECTASIS <ul><li>loss of air in the alveoli; alveoli devoid of air </li></ul><ul><li>Increased density, Signs indicating loss of lung volume </li></ul><ul><li>Types of Atelectasis: </li></ul><ul><ul><li>Resorptive Atelectasis </li></ul></ul><ul><ul><li>Relaxation Atelectasis </li></ul></ul><ul><ul><li>Adhesive Atelectasis </li></ul></ul><ul><ul><li>Cicatricial Atelectasis </li></ul></ul><ul><ul><li>Round Atelectasis </li></ul></ul>
  12. 12. SIGNS OF ATELECTASIS <ul><li>Generalized  </li></ul><ul><li>Shift of mediastinum </li></ul><ul><li>Elevation of diaphragm </li></ul><ul><li>Drooping of shoulder. </li></ul><ul><li>Crowding of ribs </li></ul><ul><li>Movement of Fissures </li></ul><ul><ul><li>movement of oblique fissures. </li></ul></ul><ul><ul><li>Forward movement - LUL atelectasis. </li></ul></ul><ul><ul><li>Backward movement - lower lobe atelectasis. </li></ul></ul><ul><ul><li>Movement of transverse fissure on PA film. </li></ul></ul><ul><li>Movement of Hilum </li></ul>
  13. 13. Cont… <ul><li>Compensatory Hyperinflation </li></ul><ul><li>Alterations in Proportion of Left and Right Lung </li></ul><ul><li>Hemithorax Asymmetry  </li></ul>
  14. 14. ATELECTASIS RIGHT LUNG <ul><li>Homogenous density right hemithorax </li></ul><ul><li>Mediastinal shift to right </li></ul><ul><li>Right hemithorax smaller </li></ul><ul><li>Right heart and diaphragmatic silhouette are not identifiable </li></ul><ul><li>  </li></ul>
  15. 15. LEFT LOWER LOBE ATELECTASIS <ul><li>Inhomogeneous cardiac density </li></ul><ul><li>Left hilum pulled down </li></ul><ul><li>Non-visualization of left diaphragm </li></ul><ul><li>Triangular retrocardiac atelectatic LLL </li></ul>
  16. 16. Rt UL COLLAPSE
  17. 17. RT MID LOBE
  18. 18. FIBROSIS <ul><li>Diffuse haziness </li></ul><ul><li>Apical cap thickening </li></ul><ul><li>Blunting of costophrenic angle </li></ul><ul><li>No shift of fluid in lateral decubitus </li></ul><ul><li>Loss of lung volume </li></ul><ul><li>Lines not corresponding to fissures </li></ul>
  19. 19. PLEURAL FIROSIS <ul><li>Small right hemithorax </li></ul><ul><li>Diffuse haziness </li></ul><ul><li>Tracheal shift to right </li></ul><ul><li>Blunted costophrenic angle </li></ul><ul><li>Lines not corresponding to fissures </li></ul>
  20. 20. TUBERCULOSIS <ul><li>LUL cavities </li></ul><ul><li>RUL infiltrate  </li></ul><ul><li>Bilateral upper lobe disease </li></ul>
  21. 21. TUERCULOSIS <ul><li>LUL cavity </li></ul><ul><li>Cavity behind clavicle - note increased density of clavicle in the region over lying cavity </li></ul><ul><li>Pleural effusion on right </li></ul>
  22. 23. Fungal ball
  23. 24. MILIARY TUBERCULOSIS <ul><li>Interstitial nodules </li></ul><ul><ul><li>Uniform size </li></ul></ul><ul><ul><li>Sharper edges </li></ul></ul>
  24. 25. PNEUMOTHORAX <ul><li>Air (black) in pleural space. With No lung markings </li></ul><ul><li>Recognition of atelectatic lung (lung margin). </li></ul><ul><li>Shift of mediastinum to the opposite side. </li></ul><ul><li>Larger hemithorax. </li></ul><ul><li>Opposite lung - vascular markings prominent. </li></ul>
  25. 26. PNEUMOTHORAX <ul><li>No vascular markings on right </li></ul><ul><li>No shift of mediastinum to left </li></ul><ul><li>Deep sulcus </li></ul><ul><li>Atelectatic right lung </li></ul><ul><li>Increased haziness on left: Diversion of entire cardiac output </li></ul><ul><li>Small fluid level near costophrenic angle: Hydro pneumothorax </li></ul>
  26. 27. TENSION PNEUMOTHORAX <ul><li>No vascular markings on right </li></ul><ul><li>Shift of mediastinum to left </li></ul><ul><li>Deep sulcus </li></ul><ul><li>Atelectatic right lung </li></ul><ul><li>Increased haziness on left: Diversion of entire cardiac output </li></ul>
  27. 28. HYDROPNEUMOTHORAX <ul><li>Air in pleural cavity </li></ul><ul><li>Lung margin visible </li></ul><ul><li>Bilateral fluid level: Any time you see a horizontal fluid level, it means that there is air and fluid in the pleural space </li></ul>
  28. 29. LUNG CANCER <ul><li>Squamous cell </li></ul><ul><ul><li>Large mass </li></ul></ul><ul><ul><ul><li>Cavitation </li></ul></ul></ul><ul><ul><li>Atelectasis with hilar mass </li></ul></ul><ul><ul><li>Lympadenopathy </li></ul></ul><ul><li>Large cell </li></ul><ul><ul><li>Large mass </li></ul></ul><ul><li>Adenocarcinoma </li></ul><ul><ul><li>Solitary pulmonary nodule </li></ul></ul>
  29. 30. <ul><li>Small cell </li></ul><ul><ul><li>Insignificant lung lesion </li></ul></ul><ul><ul><li>Massive mediastinal adenopathy </li></ul></ul><ul><li>Alveolar cell </li></ul><ul><ul><li>Solitary pulmonary nodule </li></ul></ul><ul><ul><li>Pneumonic </li></ul></ul><ul><ul><li>Multicentric </li></ul></ul><ul><li>Pancoast tumor </li></ul><ul><ul><li>Apical shadow </li></ul></ul><ul><ul><li>Posterior rib destruction </li></ul></ul><ul><ul><li>Drooping of shoulder / Brachial plexus </li></ul></ul>
  30. 31. ALVEOLAR CELL CARCINOMA <ul><li>Alveolar Cell Carcinoma / Solitary Pulmonary Nodule </li></ul><ul><li>LUL anterior segment lesion </li></ul><ul><li>Round with irregular margins </li></ul><ul><li>Air bronchogram </li></ul>
  31. 32. PANCOAST TUMOUR <ul><li>Right apical mass </li></ul><ul><li>Cavitating mass </li></ul><ul><li>Para tracheal nodes </li></ul><ul><li>2nd rib destruction </li></ul><ul><li>Calcified nodes (silicosis) </li></ul>
  32. 33. LARGE CELL CANCER <ul><li>Large Cell Cancer </li></ul><ul><li>Mass RUL </li></ul>
  33. 34. LUNG MASS <ul><li>Mass </li></ul><ul><li>Round or oval </li></ul><ul><li>Sharp margin </li></ul><ul><li>Homogenous </li></ul><ul><li>No respect for anatomy </li></ul><ul><li>Lung Cancer: Large cell </li></ul><ul><li>  </li></ul>
  34. 35. LUNG ABSCESS <ul><li>Lung Abscess </li></ul><ul><li>Bilateral </li></ul><ul><li>Multiple </li></ul><ul><li>Fluid level </li></ul>
  35. 36. LUNG ABSCESS <ul><li>Lung Abscess </li></ul><ul><li>Anterior segment of LUL </li></ul><ul><li>Atypical location for aspiration lung abscess </li></ul><ul><li>Thick wall </li></ul><ul><li>Fluid level </li></ul>
  36. 37. PULMOARY EDEMA <ul><li>Pulmonary Edema Acute Diffuse Alveolar </li></ul><ul><li>Bilateral </li></ul><ul><li>Diffuse </li></ul><ul><li>Butterfly pattern </li></ul><ul><li>Soft fluffy lesions </li></ul><ul><li>Coalescing </li></ul><ul><li>Air bronchogram </li></ul>
  37. 38. EMPHYSEMA <ul><li>Alpha 1 Anti-Trypsin Deficiency </li></ul><ul><li>Hyperinflation </li></ul><ul><li>Hyperlucency </li></ul><ul><li>Low set flat diaphragm </li></ul><ul><li>Vertical heart </li></ul><ul><li>Pre and infra cardiac lungs </li></ul><ul><li>Barrel shape </li></ul><ul><li>Emphysema </li></ul><ul><li>Avascular zones </li></ul><ul><li>Cephalization of upper lung fields is not evident </li></ul><ul><li>Predominant basal involvement (not evident) </li></ul>
  38. 39. <ul><li>SOME D/D </li></ul>
  39. 40. MULTIPLE NODULES OR MASS >3 CM <ul><li>M ets/Carcinoma/Lymphoma </li></ul><ul><li>T B/granuloma </li></ul><ul><li>W egeners </li></ul><ul><li>R heumatoid nodules/Round pneumonia </li></ul><ul><li>F ungal </li></ul><ul><li>S arcoid </li></ul><ul><li>S eptic pulmonary emboli </li></ul>
  40. 42. COIN LESION <3 CM <ul><li>C arcinoma/Congenital </li></ul><ul><li>H amartoma/Hematoma </li></ul><ul><li>A VM/Abscess </li></ul><ul><li>N eoplasm–mets </li></ul><ul><li>G ranuoma </li></ul><ul><li>TB pneumonia </li></ul>
  41. 45. CAVITY <ul><li>C arcinoma-SCC </li></ul><ul><li>A bscess-fungal/bacterial/TB </li></ul><ul><li>V ascular-septic emboli </li></ul><ul><li>I nflammatory-rheumatoid nodule </li></ul><ul><li>T rauma-resolving contusion </li></ul><ul><li>Y oung-bronchogenic cyst </li></ul>
  42. 47. UNILATERAL HYPERLUCENT LUNG <ul><li>P oland syndrome/Pneumothorax </li></ul><ul><li>O ligemia/Obstruction (PE) </li></ul><ul><li>E mphysema </li></ul><ul><li>M astectomy </li></ul><ul><li>S wyer James </li></ul>
  43. 48. E mphysema
  44. 49. Anterior Mediastinal Masses <ul><li>1. Thymoma </li></ul><ul><li>2. Teratoma </li></ul><ul><li>3. Substernal thyroid </li></ul><ul><li>4. Lymphoma </li></ul>
  45. 50. Opacified Hemithorax <ul><li>1. Atelectasis </li></ul><ul><li>2. Pleural effusion </li></ul><ul><li>3. Pneumonia </li></ul><ul><li>4. Post-pneumonectomy/ agenesis </li></ul>
  46. 52. Large Cavitary Lung Lesions <ul><li>1. Abscess </li></ul><ul><li>2. Carcinoma </li></ul><ul><li>3. TB </li></ul>
  47. 53. Bronchogenic Carcinoma
  48. 54. Upper Lobe Disease <ul><li>1. TB (2° TB) </li></ul><ul><li>2. Silicosis </li></ul><ul><li>3. Eosinophilic granuloma </li></ul>
  49. 55. <ul><li>Micronodular Lung Disease </li></ul><ul><li>1. Mets </li></ul><ul><li>2. Sarcoid </li></ul><ul><li>3. Pneumoconiosis </li></ul><ul><li>4. Miliary TB </li></ul>
  50. 56. Micronodular Lung Disease- Sarcoid
  51. 57. <ul><li>Small Cavitary Lung Lesions </li></ul><ul><li>1. Septic emboli </li></ul><ul><li>2. Rheumatoid nodules </li></ul><ul><li>3. Squamous or transitional cell mets </li></ul><ul><li>4. Wegener’s Granulomatosis </li></ul>
  52. 59. <ul><li>Multiple Lung Nodules </li></ul><ul><li>1. Mets </li></ul><ul><li>2. Wegener’s granulomatosis </li></ul><ul><li>3. Rheumatoid nodules </li></ul><ul><li>4. AVMs </li></ul><ul><li>5. Septic emboli </li></ul>
  53. 61. <ul><li>Pulmonary Interstitial Edema </li></ul><ul><li>1. CHF </li></ul><ul><li>2. Lymphangitic spread </li></ul><ul><li>3. Allergic reaction </li></ul>
  54. 62. CHF
  55. 63. <ul><li>Unilateral Hyperlucent Lung </li></ul><ul><li>1. Mcleod’s syndrome </li></ul><ul><li>2. Pulmonary embolism </li></ul><ul><li>3. Pneumothorax </li></ul><ul><li>4. Obstructive/ compensatory emphysema </li></ul>
  56. 64. p/o FB
  57. 65. <ul><li>Cavitating Pneumonia </li></ul><ul><li>1. Staph </li></ul><ul><li>2. Strep </li></ul><ul><li>3. TB </li></ul><ul><li>4. Gram negative (Klebsiella) </li></ul>
  58. 66. Staph
  59. 67. <ul><li>Middle Mediastinal Masses </li></ul><ul><li>1. Lymphadenopathy </li></ul><ul><li>2. Aneurysms </li></ul><ul><li>3. Esophageal duplication </li></ul><ul><li>4. Bronchogenic cysts </li></ul>
  60. 68. Bronchogenic cysts
  61. 69. <ul><li>Hilar Adenopathy </li></ul><ul><li>1. Sarcoid </li></ul><ul><li>2. TB </li></ul><ul><li>3. Lymphoma </li></ul><ul><li>4. Bronchogenic ca </li></ul><ul><li>5. Mets </li></ul>
  62. 70. Sarcoid
  63. 71. <ul><li>Cavities Containing Masses </li></ul><ul><li>1. Aspergillosis </li></ul><ul><li>2. Cavitating bronchogenic ca </li></ul><ul><li>3 Tuberculosis </li></ul><ul><li>4 Hydatid cyst </li></ul>
  64. 72. Aspergillosis
  65. 73. <ul><li>Solitary Pulmonary Nodule </li></ul><ul><li>1. Bronchogenic ca </li></ul><ul><li>2. Hamartoma </li></ul><ul><li>3. Histoplasmoma </li></ul><ul><li>4. TB granuloma </li></ul><ul><li>5. Bronchial adenoma </li></ul><ul><li>6. Solitary met </li></ul><ul><li>7. Round pneumonia </li></ul><ul><li>8. Rounded atelectasis </li></ul>
  66. 74. Hamartoma
  67. 75. Pleural Effusion 1. CHF 2. Mets 3. Pancreatitis 4. Pulmonary embolism 5. Trauma 6. Empyema 7. Collagen vascular 8. Ovarian tumor (Meig’s Syndrome) 9. Chylothorax
  68. 76. CCF
  69. 77. <ul><li>Left-sided Pleural Effusion </li></ul><ul><li>1. Dissecting aortic aneurysm </li></ul><ul><li>2. Pancreatitis </li></ul><ul><li>3. Distal thoracic duct rupture </li></ul><ul><li>4. Esophageal pathology </li></ul>
  70. 78. Dissecting aortic aneurysm
  71. 79. <ul><li>Posterior Mediastinal Masses </li></ul><ul><li>1. Neurogenic tumors </li></ul><ul><li>2. Lymphadenopathy </li></ul><ul><li>3. Extramedullary hematopoesis </li></ul><ul><li>4. SPINAL PATHOLOGY </li></ul><ul><li>5. DIAPHRAGMATIC HERNIA </li></ul>
  72. 81. <ul><li>Lung Disease & Rib Destruction </li></ul><ul><li>1. Bronchogenic ca, i.e Pancoast tumor </li></ul><ul><li>2. Actinomycosis </li></ul><ul><li>3. Blastomycosis </li></ul><ul><li>4. Multiple myeloma </li></ul>
  73. 83. <ul><li>Unilateral Pulmonary Edema </li></ul><ul><li>1. Aspiration </li></ul><ul><li>2. Disease in other lung, e.g. COPD </li></ul><ul><li>3. Postural </li></ul><ul><li>4. Rapid expansion of PTX </li></ul>
  74. 84. Unilateral Pulmonary Edema
  75. 85. <ul><li>Reverse “Pulmonary Edema” </li></ul><ul><li>1. Eosinophilic lung disease, e.g. Loeffler’s </li></ul><ul><li>2. Sarcoid </li></ul><ul><li>3. Pulmonary contusions </li></ul>
  76. 86. <ul><li>DIAGNOSIS PLEASE </li></ul>
  77. 88. <ul><li>RT ML CONSOLIDATION </li></ul>
  78. 90. <ul><li>CANNON BALL METZ </li></ul>
  79. 92. <ul><li>ABSCESS </li></ul>
  80. 94. <ul><li>LT UL CONSLIDATION </li></ul>
  81. 96. <ul><li>BRONCHIECTASIS </li></ul>
  82. 98. <ul><li>OS METZ </li></ul>
  83. 99. <ul><li>Thank you </li></ul>
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