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Part 1 book “Chest radiology - The esentials” has contents: Normal anatomy of the chest, signs and patterns of lung disease, interstitial lung disease, alveolar lung disease, monitoring and support devices: “tubes and lines”, mediastinal masses, solitary and multiple pulmonary nodules, chest trauma, pleura, chest wall, and diaphragm.
Thank you for purchasing this e-book To receive special offers and news about our latest products, sign up below Or visit LWW.com Jannette Collins, MD, MEd, FCCP, FACR Ben Felson Professor and Chair of Radiology Professor of Medicine University of Cincinnati College of Medicine Cincinnati, Ohio Eric J Stern, MD Professor of Radiology Adjunct Professor of Medicine, Medical Education and Bioinformatics, and Global Health Vice-Chair, Academic Affairs University of Washington Seattle, Washington Third Edition Acquisitions Editor: Ryan Shaw Product Development Editor: Amy G Dinkel Production Project Manager: Priscilla Crater Design Coordinator: Stephen Druding Manufacturing Coordinator: Beth Welsh Prepress Vendor: S4Carlisle Publishing Services 3rd edition Copyright © 2015 Wolters Kluwer Health Copyright © 2008 Lippincott Williams & Wilkins, a Wolters Kluwer business Copyright © 1999 by Lippincott Williams & Wilkins All rights reserved This book is protected by copyright No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews Materials appearing in this book prepared by individuals as part of their official duties as U.S government employees are not covered by the abovementioned copyright To request permission, please contact Wolters Kluwer Health at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at permissions@lww.com, or via our website at lww.com (products and services) 9 8 7 6 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data Chest radiology (Collins) Chest radiology : the essentials / editors, Jannette Collins, Eric J Stern — Third edition p ; cm Includes bibliographical references and index ISBN 978-1-4511-4448-2 (hardback) eISBN 978-1-4698-8856-9 I Collins, Jannette, editor II Stern, Eric J., editor III Title [DNLM: 1 Radiography, Thoracic—methods Lung Diseases— radiography WF 975] RC941 617.5'407572—dc23 2014028970 Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication Application of this information in a particular situation remains the professional responsibility of the practitioner; the clinical treatments described and recommended may not be considered absolute and universal recommendations The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and practice at the time of publication However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions This is particularly important when the recommended agent is a new or infrequently employed drug Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in his or her clinical practice LWW.com Ode to Jonathan He brought ideas and words to life Had a daughter, son, and wife He was kind, gracious, well-read And loved the Grateful Dead He had a wry sense of humor, Loved photography and music, Hiking, windsurfing, and all things scenic He was well-respected, a mentor There was a man no gentler To his final resting place, Godspeed So many words I’ll never read JANNETTE COLLINS Jonathan W “JP” Pine, Jr., was a longtime editor at Lippincott Williams & Wilkins/Wolters Kluwer Health He died November 28, 2013, at the age of 56 he Essentials series is a collection of radiology textbooks following a standardized format Each book in the Essentials series is a practical tool for those wanting to quickly acquire a broad base of knowledge in a specialty area The content is limited to the essentials of that specialty so as not to overwhelm the novice, yet provides enough detail that it can serve as a quick review for residents or practicing radiologists, a guide for those who teach the specialty, and a reference for specialty physicians and other health care professionals whose patients are referred for imaging in that specialty area What sets Essentials texts apart from other similar texts is that they (a) are compact and of practical size for a resident to read during an initial 4-week rotational experience, (b) include learning objectives at the beginning of each chapter, and (c) provide an exercise for self-assessment Each book includes citations from the most recent literature that are called out in the text Self-assessment is a key component of the Essentials texts Multiple-choice items are included at the end of every chapter, and a self-assessment examination is included at the end of each text This should be of particular benefit to those who are preparing for the new image-rich computer-based examinations that are a component of professional certification and maintenance of certification The series includes not only texts related to clinical specialties that are rich with radiologic images and illustrations, but also texts related to noninterpretive subjects such as radiologic physics and quality and safety in medical imaging The goal of the Essentials series is to provide a collection of practical references to accompany a well-rounded education in diagnostic imaging and imagingguided therapy T JANNETTE COLLINS he objective of this book is to provide a practical tool for those wanting to quickly acquire a broad base of knowledge in thoracic imaging The content is limited to the essentials of chest radiology so as not to overwhelm the novice, yet provides enough detail that it can serve as a quick review for residents or practicing radiologists, a guide for those who teach thoracic imaging, and a reference for internists, pulmonologists, thoracic surgeons, critical care physicians, family practitioners, and other health care professionals whose patients undergo thoracic imaging procedures What sets this book apart from other similar texts is that (a) it is compact and of practical size for a resident to read during an initial 4-week chest radiology experience, (b) it closely follows an established cardiothoracic radiology curriculum, and (c) it provides an exercise for self-assessment This third edition carries over the pattern approach, use of mnemonics, and emphasis on chest radiograph/CT correlation However, several changes were made to the second edition to reflect current technology, changes in terminology and staging criteria, new management guidelines, and recently adopted screening recommendations New citations from the most recent literature were added New coronal CT images complement axial images, which is of particular value when discussing upper-lobe predominant or other patterned diseases The specific behaviorally based learning objectives at the beginning of each chapter follow the most current curriculum on cardiothoracic radiology for diagnostic radiology residency developed by the Education Committee of the Society of Thoracic Radiology Approximately 100 images were retired, and over 450 new images were added The content of the third edition was expanded to include the most current lung cancer staging classification, use of the term adenocarcinoma in situ (formerly bronchioloalveolar carcinoma), evidence-based guidelines for evaluating suspected pulmonary embolism (including those for pregnant patients), recently adopted lung cancer screening recommendations with low dose CT of the chest, Fleischner Society guidelines for the follow-up of subsolid nodules, and new management guidelines for peri-fissural nodules T Feedback from readers of the second edition included positive comments related to the new chapter on “Signs and Patterns” of lung disease This chapter was expanded in the third edition to include numerous additional signs (e.g., reverse halo, comet tail, hilum overlay, signet ring, knuckle, scimitar, and water bottle) One of the more exciting enhancements to the third edition was increased opportunity for self-assessment Multiple-choice items were added to the end of every chapter, and the self-assessment examination at the end of the book was expanded In addition, numerous new multiple-choice items were made available with the online version of the book In total, more than 150 new image-based multiple-choice items were included with the third edition This should be of particular benefit to those who are preparing for the new image-rich computerbased examinations that are a component of professional certification and maintenance of certification To address the inherent limitations in a book of “essentials,” selected scientific literature and larger comprehensive textbooks are referenced at the end of each chapter for readers who want to broaden their foundation of knowledge The interpretation of chest radiographs and CT scans does not always lend itself to a “cookbook” approach, but as much as possible, this book attempts to provide a logical approach to learning that will not only prepare readers for but also stimulate them to pursue lifelong learning in chest radiology JANNETTE COLLINS ERIC J STERN Series Foreword Preface Chapter 1 Normal Anatomy of the Chest Chapter 2 Signs and Patterns of Lung Disease Chapter 3 Interstitial Lung Disease Chapter 4 Alveolar Lung Disease Chapter 5 Monitoring and Support Devices: “Tubes and Lines” Chapter 6 Mediastinal Masses Chapter 7 Solitary and Multiple Pulmonary Nodules Chapter 8 Chest Trauma ... Includes bibliographical references and index ISBN 97 8 -1 -4 51 1-4 44 8-2 (hardback) eISBN 97 8 -1 -4 69 8-8 85 6-9 I Collins, Jannette, editor II Stern, Eric J., editor III Title [DNLM: 1 Radiography, Thoracic—methods Lung Diseases—... are labeled on posteroanterior (PA) and lateral chest radiographs (Figs 1. 1 and 1. 2) and axial CT images (Figs 1. 3 and 1. 4) The frontal chest radiograph and axial chest CT images are viewed as if looking at the patient, with the patient’s... spine is straight and in the middle of the chest is to see if the heart to the right of the midline fits between the left heart border and the left ribs Aortopulmonary The left pulmonary artery, as it passes over the