Chest Imaging Essentials Course for Residents
1. Introduction
A brief discussion about a feature-based approach to understanding chest radiology and developing a simple mental model for handling lung opacities.
2. Nonspecific Lung Nodules & Masses
The overwhelming majority of lung nodules and masses we encounter are non-specific. Learn how to approach and manage this common imaging finding.
3. Specific Lung Nodules & Masses
Learn about 9 diseases that can sometimes manifest as a specific lung nodule or mass.
4. Atelectasis
One of the most common diagnoses reported on CXR, develop a stronger appreciation for the pathophysiology of atelectasis.
5. Acute Non-Diffuse Consolidation
Go beyond the traditional mantra of “blood, water, pus” when diagnosing acute focal or multifocal consolidation.
6. Acute Diffuse Consolidation
Understand how to improve your accuracy for diagnosing diffuse lung consolidation, and learn when to look for less common causes.
7. Chronic Non-Diffuse Consolidation
The differential diagnosis for chronic focal or multi-focal consolidation diverges from the traditional mantra of “blood, water, pus”.
8. Nodular Interstitial Opacities
Learn the pathophysiology and diagnostic approach for centrilobular, perilymphatic, random, tree-in-bud, and bronchovascular patterns.
9. Reticular & Septal Interstitial Patterns
Learn how to approach interstitial opacities when they present in a reticular or septal pattern.
10. Isolated Ground-Glass Opacities
Learn the trick for diagnosing isolated ground-glass lung opacities with relative specificity.
11. Hyperlucent Lung
Lung hyperlucency may occur in the setting of emphysema, cystic lung disease, hyperinflation, or hypoperfusion.
12. Large Airway Disorders
A review of bronchiectasis and tracheal strictures, tracheal tumors, diffuse tracheal disorders with and without associated wall thickening.
13. Pleural Disorders
Familiarize yourself with pleural disorders and their appearance on CXR and CT.
14. Anterior Mediastinal Disorders
Learn a practical strategy for interpreting anterior mediastinal masses, and how to manage their workup.
15. Middle Mediastinal Disorders
Middle mediastinal disorders generally involve the great vessels, esophagus, lymph nodes, or the occasional bronchopulmonary foregut malformation.
16. Posterior Mediastinal Disorders
Posterior mediastinal masses are generally either neurogenic or vertebral in origin. Learn how to approach their diagnosis.
17. Hilar Disorders
Learn how to approach abnormalities of hilar size and hilar location, in addition to both intravascular and endobronchial disorders of the hila.
18. Chest Wall & Diaphragm Disorders
How to approach disorders of the chest wall and diaphragm.
How to Read: Chest CT
Just as playing a violin is a complex interplay of bowing, finger placement, and the mind, reading a chest CT is an interplay of visual focus, scrolling, and the mind.
How to Read: Lateral CXR
The lateral chest radiograph is an imaging study that can be challenging to both the novice or seasoned radiologist.