Problem Solving in Chest Imaging

Imaging of Thoracic Trauma

▪ Introduction Thoracic injury is a common sequela of acute trauma and is the third most common injury in trauma patients, after head and extremity injuries. The overall mortality rate approaches 25%, with acute aortic, tracheobronchial, and cardiac injuries often…

Thoracic Interventions

▪ Introduction Thoracic interventions are performed for the diagnosis and treatment of focal lesions in the thorax. Image-guided percutaneous biopsy is used to obtain tissue for the diagnosis of benign and malignant conditions. Drainage of fluid or air from the…

Lung and Heart Transplantation

■ Lung Transplantation Since the first lung transplantation was performed in 1963, there have been major improvements in the surgical technique and posttransplantation management of organ recipients. Lung transplantation represents the only effective therapeutic option for many patients with advanced…

Intensive Care Imaging

■ Value of a Routine Daily Chest Radiograph in the Intensive Care Unit Determining Who Needs Imaging Imaging of an intensive care unit (ICU) patient can be a difficult task that relies on cooperation and teamwork among many members of…

Imaging of the Pericardium

■ Anatomy and Normal Appearance on Imaging The pericardium is a fibrous sac that surrounds the heart and is composed of two distinct layers: the visceral pericardium and parietal pericardium. The visceral pericardium is the inner serous layer that consists…

Cardiac Valves

■ Introduction Echocardiography is the primary imaging modality used in the evaluation of cardiac valve morphology, function, and disease. This modality is broadly available and portable, and there is widespread clinical familiarity with the performance and interpretation of this modality.…

Trachea and Bronchi

■ Central Airway Anatomy and Physiology: Essentials for the Radiologist Anatomy The trachea is a cartilaginous and fibromuscular conduct extending from the lower border of the larynx (2 cm below the vocal cords, at the level of spinal C6) to the…

The Pleura

▪ Pleural Anatomy The pleura is a stroma supported by the mesothelial lining of the thoracic cavity. It is composed of two layers: an inner visceral pleura and an outer parietal pleura. The visceral pleura lines the lungs and their…

Problem Solving in the Mediastinum

▪ Mediastinal Lesions Although it may not be difficult to identify a mediastinal mass on cross-sectional imaging, it can be challenging to determine its nature. Diagnostic specificity is critical to prevent unnecessary intervention and its associated morbidity and expenditure. The…