Imaging Appearances of Congenital Thoracic Lesions Presenting in Adulthood Edward T.D. Hoey, FRCR, Priya Bhatnagar, MBBS, Kshitij Mankad, FRCR, Deepa.

Slides:

Advertisements

Similar presentations

 Lungs: o WW 1000 to 1500HU o WL -600 to -700HU  Mediastinum, Hilum: o WW 350 to 500HU o WL 30 to 50HU.

Advertisements

Pulmonary Sequestration

The Changing Pattern of Pulmonary Suppuration: Surgical Implications

Standard Report Terms for Chest Computed Tomography Reports of Anterior Mediastinal Masses Suspicious for Thymoma Edith M. Marom, MD, Melissa L. Rosado-de-Christenson,

Central mass (squamous cell carcinoma) with left upper lobe collapse

Aneurysm of the superior mediastinal veins

Cumulative Radiation Dose in Patients With Hereditary Hemorrhagic Telangiectasia and Pulmonary Arteriovenous Malformations Kate Hanneman, MD, Marie E.

The Differentiation of Dextroversion from Dextroposition of the Heart and Their Relation to Pulmonary Abnormalities S. Rogel, M.D., A. Schwartz, M.D.,

The “Broken Ring” Sign in Magnetic Resonance Imaging of Partial Anomalous Pulmonary Venous Connection to the Superior Vena Cava PAUL R. JULSRUD, M.D.,

Cardiac Infections Seminars in Roentgenology

Ultrasound, Computed Tomography, and Magnetic Resonance Imaging of Ovarian Vein Thrombosis in Obstetrical and Nonobstetrical Patients Vivek Virmani,

Computed Tomography Angiography in Acute Gastrointestinal and Intra-abdominal Bleeding in Children: Preliminary Experience Dimitri A. Parra, MD, Govind.

Imaging of Ovarian Teratomas in Children: A 9-Year Review

Multimodal Imaging in the Diagnosis of Large Vessel Vasculitis: A Pictorial Review U. Salati, MBChB, MRCP(UK), Ceara Walsh, MBChB, MRCPI, Darragh Halpenny,

F. Gibson, A. Bodenham British Journal of Anaesthesia

Brett W. Carter, MD, Meinoshin Okumura, MD, Frank C

The Wonderful World of the Windpipe: A Review of Central Airway Anatomy and Pathology David A. Lawrence, MD, Brittany Branson, MD, Isabel Oliva, MD,

Comparative study of single- and double-patch techniques for sinus venosus atrial septal defect with partial anomalous pulmonary venous connection Anand.

Pictorial Essay: Tumours and Pseudotumours of Sacrum

Inflammatory Pseudotumours in the Abdomen and Pelvis: A Pictorial Essay Tony Sedlic, MD, Elena P. Scali, MD, Wai-Kit Lee, MD, Sadhna Verma, MD, Silvia.

Interventional Management of Pleural Infections

Outside the Inside: A Review of Soft-Tissue Abnormalities Seen on Thoracoabdominal Computed Tomography Susan J. Frank, MD, Shari Friedman, MD, Milana.

Invasive Inflammatory Myofibroblastic Tumor of the Lung

The Lung Reporting and Data System (LU-RADS): A Proposal for Computed Tomography Screening Daria Manos, MD, Jean M. Seely, MD, Jana Taylor, MD, Joy Borgaonkar,

Cross-Sectional Imaging of Nontraumatic Peritoneal and Mesenteric Emergencies Michael N. Patlas, MD, FRCPC, Abdullah Alabousi, MD, Mariano Scaglione,

Extrapulmonary Tuberculosis: Imaging Features Beyond the Chest

Positron Emission Tomography in Lung Cancer

Annalisa K. Becker, MD, FRCPC, David K. Tso, MD, Alison C

Abdominal Hemangiomas: A Pictorial Review of Unusual, Atypical, and Rare Types Vijayanadh Ojili, MD, Sree Harsha Tirumani, MD, Gowthaman Gunabushanam,

Pictorial Essay: Imaging of Peripheral Nerve Sheath Tumours

Hélène Peyrot, MD, Pierre-François Montoriol, MD, Michel Canis, MD

Clinical Impact of Multidetector Row Computed Tomography Before Bronchial Artery Embolization in Patients With Hemoptysis: A Prospective Study Mudit.

Figure 1: CTA a. axial & b. sagittal images showing a large defect in the inter-ventricular septum (blue arrow). c. axial image showing narrowing in the.

Multidetector Computed Tomography of Superior Mesenteric Artery: Anatomy and Pathologies Yan E. Zhao, MD, Zhen Jane Wang, MD, Chang Sheng Zhou, BS, Fei.

Computed Tomography Findings of Kommerell Diverticulum

Cross-Sectional Imaging of Small Bowel Malignancies

Cross-Sectional Imaging of Small Bowel Malignancies

Sectional Anatomy Chest Vasculature.

Small-Bowel and Mesenteric Injuries in Blunt Trauma of the Abdomen

A New “Hump” The American Journal of Medicine

Volume 138, Issue 6, Pages (December 2010)

Abdominal Extraosseous Lesions of Multiple Myeloma: Imaging Findings

A Lung Mass Causing Cardiovascular Impairment

Intrathoracic Extrapulmonary Hydatid Disease: Radiologic Manifestations Dilek Emlik, MD, Demet Kiresi, MD, Guven Sadi Sunam, MD, Ali Sami Kivrak, MD,

Acute chest pain and tamponading left hemothorax: An unusual presentation of pulmonary arteriovenous malformation Ira R.A. Goldsmith, MD, FRCS CTh, Ihab.

Preoperative Radiation Therapy and Chemotherapy for Pulmonary Blastoma: A Case Report Timothy M. Zagar, MD, Susan Blackwell, MHS, PA-C, Jeffrey Crawford,

Volume 142, Issue 3, Pages (September 2012)

Case of the Month #158 Canadian Association of Radiologists Journal

Tomaso Bottio, MD, PhD, Gino Gerosa, MD

Trishna R. Shimpi, MMed, FRCR, Sumer N

Aneurysm of the superior mediastinal veins

Sarah Cullivan, MD, Karen Redmond, MD, Carole Ridge, MD, Oisin J

Outside the Inside: A Review of Soft-Tissue Abnormalities Seen on Thoracoabdominal Computed Tomography Susan J. Frank, MD, Shari Friedman, MD, Milana.

An 82-Year-Old Woman With Left Upper Lobe Atelectasis

Improved characterization of popliteal aneurysms using gadofosveset-enhanced equilibrium phase magnetic resonance angiography Mauricio S. Galizia, MD,

A 57-Year-Old Man With Subacute Progressive Hemoptysis and Fevers

Volume 137, Issue 5, Pages (May 2010)

A 28-Year-Old Man With a Mediastinal Mass

Iatrogenic Tracheoesophageal Fistula

Right Middle Lobe Collapse and Pleural Effusion in an 18-Year-Old Man

Bora Peynircioglu, MD, David M

Tracheal obstruction from mediastinal arteriovenous malformation

Report of Eight Recent Cases of Locally Advanced Primary Pulmonary Artery Sarcomas: Failure of Doxorubicin-Based Chemotherapy Nicolas Penel, MD, PhD,

Collaterals Journal of Thoracic Oncology

Volume 136, Issue 2, Pages (August 2009)

Volume 140, Issue 3, Pages (September 2011)

Answer to Case of the Month #158

An 87-Year-Old Woman With Pleural Effusion and Tortuous Aorta

Clinical-pathologic conference in general thoracic surgery: Malignant transformation of recurrent respiratory papillomatosis Benjamin D. Kozower, MD,

Use of Fluoroscopy During Endobronchial Ultrasonography for Transbronchial Lung Biopsies of Peripheral Lung Lesions Daniel Steinfort, MBBS, Louis Irving,

Presentation transcript:

Imaging Appearances of Congenital Thoracic Lesions Presenting in Adulthood Edward T.D. Hoey, FRCR, Priya Bhatnagar, MBBS, Kshitij Mankad, FRCR, Deepa Gopalan, FRCR, Michael Darby, FRCR, Roderick Robertson, FRCR Canadian Association of Radiologists Journal Volume 60, Issue 4, Pages 172-181 (October 2009) DOI: 10.1016/j.carj.2009.06.005 Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 1 Chest radiograph of a 52-year-old man admitted to intensive care after a road traffic accident. An endotracheal tube is appropriately positioned, but there is right upper-lobe collapse. These changes persisted, and a subsequent CT scan showed a right tracheal bronchus as the cause. Canadian Association of Radiologists Journal 2009 60, 172-181DOI: (10.1016/j.carj.2009.06.005) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 2 Coronal reformatted CT image, showing a right-sided tracheal bronchus. Canadian Association of Radiologists Journal 2009 60, 172-181DOI: (10.1016/j.carj.2009.06.005) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 3 A 45-year-old man with tracheobronchomegaly who presented with recurrent chest infections. (A) Coronal reformatted CT image, showing marked dilatation of the trachea and main bronchi, which have a corrugated appearance. (B) Transaxial CT image, showing dilatation of both main bronchi and cystic bronchiectasis. (C) Expiratory phase transaxial CT image, demonstrating collapse of the central airways and associated air trapping. Canadian Association of Radiologists Journal 2009 60, 172-181DOI: (10.1016/j.carj.2009.06.005) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 4 An asymptomatic 34-year-old man with no chest symptoms. (A) Chest radiograph, showing left upper-lobe hyperexpansion and a central ovoid mass (arrow). (B) Transaxial CT image, showing a dilated mucus-filled bronchus and peripheral emphysematous lung (delineated by arrows). Canadian Association of Radiologists Journal 2009 60, 172-181DOI: (10.1016/j.carj.2009.06.005) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 5 A 43-year-old woman who presented with dysphagia. (A) Chest radiograph, showing a smoothly marginated soft tissue density mass beneath the carina (arrow). (B) Transaxial non–contrast-enhanced CT, showing a well-defined soft-tissue attenuation lesion. (C) Coronal and (D) sagittal T2-weighted MRI images, showing a thin-walled, uniformly high-signal lesion in the middle mediastinum. Canadian Association of Radiologists Journal 2009 60, 172-181DOI: (10.1016/j.carj.2009.06.005) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 6 A 23-year-old woman with a history of left-sided congenital diaphragmatic hernia repair in early childhood. (A) Chest radiograph, showing a small left lung and leftward shift of the mediastinum. (B) MR pulmonary angiogram, showing a hypoplastic left pulmonary artery (arrow). Canadian Association of Radiologists Journal 2009 60, 172-181DOI: (10.1016/j.carj.2009.06.005) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 7 A 34-year-old woman who presented with fever and purulent sputum production. (A) Transaxial contrast-enhanced CT, showing a thin-walled multiloculated cystic lesion in the right hemithorax, which contains an air-fluid level. (B) Coronal reformatted image, showing the same. This lesion was surgically resected and histology confirmed a diagnosis of CAM. Canadian Association of Radiologists Journal 2009 60, 172-181DOI: (10.1016/j.carj.2009.06.005) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 8 A 35-year-old woman who presented with dysphagia. (A) Transaxial contrast enhanced CT image, showing a vascular ring encircling the trachea and esophagus. (B) Transaxial T1-weighted “black blood” MRI sequence also showing the double aortic arch. Canadian Association of Radiologists Journal 2009 60, 172-181DOI: (10.1016/j.carj.2009.06.005) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 9 A 45-year-old woman with pulmonary hypertension. (A) Coronal reformatted CT image, showing partial anomalous pulmonary venous drainage of the right superior pulmonary vein into the superior vena cava (arrow). (B) Transaxial CT image, demonstrating an associated superior sinus venosus type atrial septal defect (arrow). (C) Coronal reformatted CT image, showing enlargement of the pulmonary artery, which contains partially calcified in situ thrombus (arrow). Canadian Association of Radiologists Journal 2009 60, 172-181DOI: (10.1016/j.carj.2009.06.005) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 10 A 43-year-old man with hereditary hemorrhagic telangiectasia who presented after a transient ischemic attack. (A) Transaxial contrast-enhanced CT image, showing a large left-sided PAVM. (B) Maximum intensity projection reformat, showing an enhancing tortuous lesion, which connects with the left hilar vessels. Canadian Association of Radiologists Journal 2009 60, 172-181DOI: (10.1016/j.carj.2009.06.005) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 11 An asymptomatic 34-year-old woman. (A) Chest radiograph, showing loss of volume in the right hemithorax, rightward shift of the mediastinum, and a vessel is seen coursing inferiorly from the right hilum towards the diaphragm (arrow). (B) Transaxial contrast-enhanced CT image, showing a hypoplastic right lung and the anomalous vein coursing through it (arrow). Canadian Association of Radiologists Journal 2009 60, 172-181DOI: (10.1016/j.carj.2009.06.005) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions

Figure 12 A 21-year-old man with recurrent chest infections. (A) Chest radiograph, showing a mass that contained multiple air-fluid levels in the right lower zone. (B) Transaxial contrast-enhanced CT image confirms the presence of a cystic-solid mass in the right lower lobe. (C) Transaxial CT image at a more caudal level, showing an anomalous vessel arising from the thoracic aorta, which supplies the sequestration (arrow). Canadian Association of Radiologists Journal 2009 60, 172-181DOI: (10.1016/j.carj.2009.06.005) Copyright © 2009 Canadian Association of Radiologists Terms and Conditions