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LYMPHANGITIC CARCINOMATOSIS“CERTAIN CANCERS SPREAD BY PLUGGING THE LYMPHATICS”
CervixColonStomachBreastPancreas ThyroidLarynx
From: Radiology: The Oral Boards PrimerBy: A. Mehta and D. P. Beall © Humana Press Inc., Totowa, NJ
2Chest Radiology
Includes plain film diagnosis, CT, MRI, and interventional techniques used in thediagnosis of diseases of the lungs, pleura, and mediastinum including the heartand great vessels.
33
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34 Radiology: The Oral Boards Primer
MULTIPLE NODULES OR MASS >3 CM
BRONCHIOLITIS OBLITERANSCRITTERS
COP/BOOPRheumatoidInfectious-Swyer JamesTransplantToxinsSarcoid
DAYS OF THE WEEK: MTWTFSS
Mets/Carcinoma/LymphomaTB/granulomaWegenersRheumatoid nodules/Round pneumoniaFungalSarcoidSeptic pulmonary emboli
Chapter 02_32_58_F 2/20/06 2:36 PM Page 34
Chapter 2 / Chest Radiology 35
COIN LESION <3 CMCHANGE
Carcinoma/CongenitalHamartoma/HematomaAVM/AbscessNeoplasm–metsGranuomaEsoteric-TB pneumonia
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36 Radiology: The Oral Boards Primer
A CT scan should be done to assess:Ca2+ pattern
Benign: solid, lamellated, centralMalignant: stippled, any other pattern.Density: fat - Hamartoma
Margins:Spiculated suggestive of carcinoma
EnhancementFour 1-min images >15HU suggestive
Growth
CAVITYCAVITY
Carcinoma-SCCAbscess-fungal/bacterial/TBVascular-septic emboliInflammatory-rheumatoid noduleTrauma-resolving contusionYoung-bronchogenic cyst
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Chapter 2 / Chest Radiology 37
CAVITY (continued)
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38 Radiology: The Oral Boards Primer
BRONCHOVASCULAR SPREADSKILL
SarcoidKaposiInfection–PCP/TBLymphomaLymphagitic spread
UNILATERAL HYPERLUCENT LUNG
POEMS
Poland syndrome/PneumothoraxOligemia/Obstruction (PE)EmphysemaMastectomySwyer James
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Chapter 2 / Chest Radiology 39
ACUTE INTERSTITIAL DISEASE (RETICULAR)HELP
Hypersensitivity pneumonitisEdema-Inhalation injuriesLymphoproliferativePneumonia-atypicals, PCP
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40 Radiology: The Oral Boards Primer
CHRONIC INTERSTITIAL DISEASE (RETICULAR)PAGE CHUCK AT THE CIA RIGHT NOW, THERE’S DRUGS
UPPER LUNG ZONES
PneumoconiosisAnkylosing spondylitisGranulomatousEosinophillicSarcoid/Silicosis
MID LUNG ZONES
Chronic Hypersensitivity
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Chapter 2 / Chest Radiology 41
LOWER LUNG ZONES
Collagen vascular diseaseIPFAsbestosRheumatoidNFDrug toxicity
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42 Radiology: The Oral Boards Primer
ACUTE AIRSPACE DISEASEHELP LEGALIZE HEMP
DIFFUSE
HemorrhageEdemaLymphoproliferative—esotericPneumonia
FOCAL
Hemorrhage-contusion/PEEdema-inhalation (crack)MI (RUL)Pneumonia
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Chapter 2 / Chest Radiology 43
CHRONIC AIRSPACE DISEASEPEBBLES
PAP/PCP/PedemaEosinophillic pneumoniaBACBOOPLymphomaEsoteric-Wegener’s/TBSarcoid/Septic pulmonary emboli
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44 Radiology: The Oral Boards Primer
GROUND GLASS DIFFUSE OPACITYSHAKE YOUR HIPS IN BED
SarcoidHypersensitivity—smokersInfectionPneumonitis—DIPScleroderma/CVDBOOPEdema/aspirationDrug toxicitiy
CENTRAL OPACITIES EXTENDINGFROM THE HILA OUTWARDS
PPPP
PAPPulmonary edemaPCPPneumonia–atypical/influenza
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Chapter 2 / Chest Radiology 45
MIDDLE MEDIASTINAL MASSHABIT
Hernia, HematomaAneurysmBronchogenic cyst/duplication cystInflammation (sarcoidosis, histoplasmosis, coccid-
ioidomycosis, primary TB in children)Tumors–remember the five Ls:
Lung, especially oat cell LymphomaLeukemiaLeiomyomaLymph node hyperplasia
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46 Radiology: The Oral Boards Primer
RETICULAR (CXR)/CYSTIC OPACITIES (CT)ELECT CHIP
EGLAMEmphysemaCFTSCoccidiomycosisHydrocarbonInfectiousPCP
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Chapter 2 / Chest Radiology 47
FINGER IN GLOVE OPACITIESCACACA
CFAsthmaCongential bronchial atresiaABPACancerAVM
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48 Radiology: The Oral Boards Primer
CRAZY PAVING (CT)ACUTE
EdemaHemorrhage
CHRONIC
PAPSarcoidPCPFibrosis
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Chapter 2 / Chest Radiology 49
END-STAGE LUNG (CXR)—ARCHITECTURAL DESTRUCTION
TESSA
TBEGSarcoidSilicosisARDS—The sequela of
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50 Radiology: The Oral Boards Primer
CA2+ NODULESMASH POX
Metastatic diseaseAlveolar microlithiasisSilicosis/siderosisHistoplasmosisPox (Varicella)
TREE IN BUD OPACITIES (CT)MIT
Mucous plugging: Aspiration/KartagenersInflammatory plugging (PUS): TB/MAITumor emboli (rare)
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Chapter 2 / Chest Radiology 51
NODULES (CT)DIFFUSE
MISSLE
MetsInfectionSarcoidSilicosisLymphomaEG
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52 Radiology: The Oral Boards Primer
PERILYMPHATIC
A SKILL
AmyloidSarcoidKaposi’sInfection (PCP)LymphomaLymphang carcinomatosis
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Chapter 2 / Chest Radiology 53
CENTRILOBULAR
HERB HAS GAS
Hypersen pneumonitisEGRB-ILDBAC/BOOPGVHDVASculitis
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54 Radiology: The Oral Boards Primer
BRONCHIECTASISCAPT KANGAROO HAS MOUNIER KUHN
Cystic fibrosisABPAPostinfectiousTBKartagener’sMounier Kuhn
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Chapter 2 / Chest Radiology 55
TRACHEAL NEOPLASMSMultiple
TRAM
TracheobronchopathiaRelapsing polychondritisMetsastasis
Single
MATCH
MucoepidermoidAdenoid cysticTracheal SCCCarcinoidHamartoma
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56 Radiology: The Oral Boards Primer
Cardiac
CARDIOMYOPATHYRESTRICTIVE
SarcoidHemochromatosisAmyloidEndocardial fibroelastosis
HYPERTROPHIC
ObstructiveNonobstructive
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Chapter 2 / Chest Radiology 57
Dilated
PERICARDIUM
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58 Radiology: The Oral Boards Primer
CA2+
UremicViralTBPrior hemorrhage
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