Thoracic Imaging for Medical Students
Thoracic radiology focuses on the diagnosis and assessment of cardiac and pulmonary diseases. Radiography plays a major role in lung imaging, and its chest radiographs are one of the most common radiologic exams in modern medicine. CT is also being more commonly used in imaging the lungs and heart, especially with the recent interest in low dose CT scans for lung cancer screening. While MRI is not commonly used in imaging the lungs, its use in imaging of the heart is one of the burgeoning fields of radiology. In imaging the lung, thoracic radiologists work closely with intensivists, pulmonologists, cardiothoracic surgeons and pathologists. Thoracic radiologists work closely with cardiac surgeons and cardiologists in imaging the heart, and often co-interpret cardiac studies with cardiologists.
Not sure where to start, Dr. Matthew Bentz suggests you start here.
Goals and objectives
- Employ a systematic search pattern for interpreting chest Radiographs
- Recognize normal anatomic structures of the chest on imaging exams
- Identify the different Chest Radiographic views and describe when they are helpful, as well as the limitations of each
- List different types of Morphologies that can are commonly seen on a Chest Radiograph.
- Identify consolidation on Chest Radiograph and formulate a differential diagnosis for the appearance
- Discuss Chest Radiographic findings that may help characterize a lung opacity as atelectasis
- Recognize a pleural effusion at Chest Radiograph on supine or upright exams (Role of decubitus films
- Describe signs of a pneumothorax at Chest radiograph
- Differentiate between Hydrostatic Edema versus Non-Cardiogenic Edema on a chest radiograph.
- Discuss the criteria for diagnosis of enlarged cardiac silhouette on PA Versus AP Chest Radiograph
- What are the 6 most common causes for Obstructive Pulmonary Disease?
- Define ‘Ball under the carpet’. Where is a mass located if it looks like a ‘Ball under the carpet’?
- Recognize the correct positioning of feeding tubes, venous lines and endotracheal tubes on chest x-ray, and likewise recognize incorrect positioning.
- What are 2 important imaging signs of an abnormal mediastinum?
- What are the 3 most common reasons for a ‘Wide mediastinum’?
- What is the most common appearance of a Pulmonary Embolus on a Chest Radiograph.
- What are the most common signs, Symptoms and Vital signs of a pulmonary embolus?
- What factor is the most important determinant of Distribution of Disease within the Lungs?
- Management of Complicated Parapneumonic Effusion/Empyema
- Alphabet Soup: A Primary Care Physician’s Guide to Idiopathic Interstitial Pneumonitis
- Idiopathic Interstitial Pneumonia
- Approach to the Mediastinum in Trauma: Density vs. Width
- Obstructive Pulmonary Diseases of the Lower Airways… It’s not all Emphysema!
- Pulmonary Edema: Pathophysiological Considerations Manifestations on Chest Radiography
- Signs of Congestive Heart Failure on Chest Radiograph
- Thromboembolic Disease in Pregnancy: Peeling Back the Layers
- Tracheobronchomalacia: The Ugly, but treatable step-cousin of the COPD family
- Tracheomalacia and Tracheobronchomalacia: Challenging the diagnostic gold standard and refining the definition
- Approach to Mediastinal Masses on Chest Radiograph
- Diagnostic Approach to Pleural Effusion
- Thoracic Radiographic Anatomy
- Tubes & Lines: Radiographic Evaluation of the Placement of Monitoring and Support Devices
- Cardiac- Acquired Heart Disease
- Cardiac Imaging Overview
- Conceptual Approach
- Pulmonary Physiology
- A New View of Pulmonary Edema and Acute Respiratory Distress Syndrome
- Low-Molecular-Weight Heparin and Mortality in Acutely Ill Medical Patients
- D-dimer threshold increase with pretest probability in likely for pulmonary Embolism to decrease unnecessary computerized tomographic Pulmonary Angiograpy
- Dots are not clots: the over-diagnosis and over-treatment of PE
- How CT Pulmonary Angiograms find Pulmanary Emboli that do not need to be found
- Continuing Medical Education Activity in Academic Emergency Medicine
- Right-Sizing Testing for Pulmonary Embolism: Recognizing the Risks of Detecting Any Clot
- Pathophysiology and treatment of haemodynamic instability in acute pulmonary embolism: the pivotal role of pulmonary vasoconstriction