Problem Solving in Chest Imaging

Diaphragm and Chest Wall

■ Diaphragm Relevant Anatomy The diaphragm is a dome-shaped muscle with a central noncontractile tendon. Anteriorly and laterally, the diaphragm attaches to the body wall (ribs, costal cartilages, inferior sternum, and xiphoid process) via muscular diaphragmatic slips ( Fig. 33.1A…

Cardiac and Vascular Tumors

▪ Introduction Cardiac tumors, benign and malignant types, are uncommon, with an incidence of 0.002% to 0.3% on autopsy series. However, even benign cardiac tumors may present with significant obstructive symptoms or be a substrate for arrhythmias. Tumors in the…

Imaging of Cardiomyopathy and Myocarditis

▪ Introduction Cardiomyopathies and myocarditis are disorders frequently encountered in clinical practice, and imaging plays a major role in the diagnosis, management, and follow-up of these diseases. This chapter will describe imaging of the cardiomyopathies that have characteristic imaging features…

Ischemic Cardiac Disease

■ Introduction: Using Cardiovascular Imaging Cardiovascular diseases remain one of the most common causes of death in industrialized nations. Over the last decade, substantial technical advances in cardiovascular imaging have been made and have helped mature such modalities from research…

Acquired Diseases of the Aorta

■ Introduction The aorta is the largest artery in the body, arising from the left ventricular outflow tract and branching throughout the body. The spectrum of thoracic aortic disease is wide, with causes that may be chronic or acute, congenital…

Congenital Heart and Vascular Disease

▪ Introduction Congenital heart and vascular diseases are relatively uncommon malformations of the heart or great vessels that occur during embryologic development. With advances in medical and surgical treatments, most patients survive into adulthood, and it is imperative for the…

Pulmonary Vascular Diseases

▪ Introduction CT pulmonary angiography (CTPA) to assess for pulmonary embolism (PE) makes up the lion's share of most radiologists’ exposure to the pulmonary vascular system and is the focus of this chapter. The pulmonary vascular anatomy is detailed because…

Cystic Lung Disease

Introduction Cystic lung diseases present a considerable diagnostic challenge mainly because CT findings can be similar in many of these diseases. In addition, a number of pulmonary abnormalities can result in cystic patterns that mimic true lung cysts. However, the…