CHEST IMAGING J. MARK FULMER, MD

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Presentation transcript:

CHEST IMAGING J. MARK FULMER, MD

CHEST IMAGING DIAGNOSIS OF DISEASES OF THE CHEST IS A MULTI-DISCIPLINARY, MULTI-MODALITY ENDEAVOR THE CHEST RADIOGRAPH IS THE MOST FREQUENTLY ORDERED IMAGING PROCEDURE

CHEST IMAGING CHEST RADIOGRAPHY CHEST CT MRI OF THE CHEST CHEST SONO

CHEST IMAGING

CHANGE IN DENSITY CHANGE IN POSITION

CHEST IMAGING

INCREASED PULMONARY DENSITY DECREASED PULMONARY DENSITY MEDIASTINAL MASSES NON-ANATOMIC STRUCTURES

CHEST IMAGING BLOODPUSEDEMAPROTEINCELLS

THE HALLMARK OF PULMONARY CONSOLIDATION/INFILTRATE IS THE AIR BRONCHOGRAM

CHEST IMAGING INCREASED PARENCHYMAL DENSITY WITH INTERNAL BRANCHING BLACK SHADOWS

AIR BRONCHOGRAM

PULMONARY CONSOLIDATION BLOODPUSEDEMAPROTEINCELLS

PNEUMONIA CONGESTIVE HEART FAILURE VOLUME OVERLOAD

PNEUMONIA

PNEUMONIA

PNEUMONIA

PULMONARY CONSOLIDATION BLOODPUSEDEMAPROTEINCELLS

CONGESTIVE HEART FAILURE CARDIOMEGALY UPPER LOBE VASCULAR CONGESTION INDISTINCT HILA ALVEOLAR FLUID KERLY B LINES PLEURAL EFFUSION

CONGESTIVE HEART FAILURE

PULMONARY EDEMA BLAST INJURY

PULMONARY EDEMA

RADIOLOGIST

INTERSTITIAL DENSITY THE HALLMARK OF INTERSTITIAL DISEASE IS A RETICULNODULAR PATTERN ON CHEST IMAGING

INTERSTITIAL DENSITY

ATELECTASIS ATELETASIS MEANS AIRLESSNESS BRONCHIAL OBSTRUCTION TRACTIONCOMPRESSION

ATELECTASIS

ATELECTASIS INCREASED DENSITY SHIFT OF NORMAL STRUCTURES COMPENSATORY OVERINFLATION

ATELECTASIS WHY IS THE LUNG COLLAPSED?

ATELECTASIS

ATELECTASIS “PLATELIKE ATELECTASIS”

ATELECTASIS “ROUNDED ATELECTASIS”

DECREASED PULMONARY DENSITY EMPHYSEMABULLAEPNEUMOTHORAX

PULMONARY MASS PMS-CBC

POSITION? MARGINATION? SIZE? CALCIFICATION? BRONCHGRAMS? CAVITATION?

PULMONARY MASS

MORE THAN MEETS THE EYE

MEDIASTINAL MASSES ANTERIORMIDDLEPOSTERIORSUPERIORANY

ANTERIOR THYMIC CYSTS AND TUMORS TERATOMA

MEDIASTINAL MASSES

MIDDLE FOREGUT CYSTS AND TUMORS

MEDIASTINAL MASSES

POSTERIOR NEUROGENIC CYSTS AND TUMORS EXTRAMEDULLARY HEMATOPOESIS

MEDIASTINAL MASSES

SUPERIORTHYROIDPARATHYROIDHEMANGIOMALYMHANGIOMA

ANYSUPERIOR LYMPH NODES METASTASISVASCULAR

MEDIASTINAL MASSES

NON-ANATOMIC DEVICES

CHEST IMAGING TRAUMA CARDIAC IMAGING CHEST ULTRASOUND IMAGING GUIDED BIOPSY

CHEST IMAGING DIAGNOSIS OF DISEASES OF THE CHEST IS A FASCINATING MULTI-DISCIPLINARY, MULTI-MODALITY ENDEAVOR

CHEST IMAGING