Mark S. Parker - Chest Imaging Case Atlas

Chest Imaging Case Atlas

Second Edition

Mark S. Parker, MD

Professor, Diagnostic Radiology and Internal Medicine
Department of Radiology
VCU Medical Center
Richmond, Virginia

Melissa L. Rosado-de-Christenson, MD, FACR

Section Chief
Department of Thoracic Imaging
Saint Lukes Hospital of Kansas City
Professor of Radiology
University of MissouriKansas City
Kansas City, Missouri

Gerald F. Abbott, MD

Associate Professor of Radiology
Harvard University
Associate Radiologist
Massachusetts General Hospital
Boston, Massachusetts

Thieme
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Library of Congress Cataloging-in-Publication Data

Parker, Mark S.
Chest imaging case atlas/Mark S. Parker, Melissa L. Rosado-de-Christenson, Gerald F. Abbott. 2nd ed.
p.; cm.
Rev. ed. of: Teaching atlas of chest imaging. c2006.
Includes bibliographical references and index.
ISBN 978-1-60406-590-9 (alk. paper)
I. Rosado de Christenson, Melissa L. II. Abbott, Gerald F. III. Parker, Mark S. Teaching atlas of chest imaging.
IV. Title.
[DNLM: 1. Diagnostic ImagingAtlases. 2. Diagnostic ImagingCase Reports. 3. Thoracic DiseasesdiagnosisAtlases. 4. Thoracic DiseasesdiagnosisCase Reports. 5. Radiography, ThoracicAtlases.
6. Radiography, ThoracicCase Reports. WF 17]
617.5407572dc23
2011052038

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Printed in the United States of America

5 4 3 2 1

ISBN 978-1-60406-590-9
eISBN 978-1-60406-591-6

To my heavenly Father, for the innumerable blessings He has afforded me in life. To my grandparents, for their love and encouragement from the beginning of my journey. To my parents, for the opportunities they provided and encouragement they offered. To my wife Cindy, for whom nothing in my personal or professional life would be possible without her unwavering love, support, and patience. To my son, Steven, and my daughter, Casey, for their love, support, and countless sacrificed hours of family time. To my colleagues and friends, Melissa and Gerry, for their friendship, dedication, and conscientious work on this project.

Mark S. Parker, MD

To my husband, Paul J. Christenson, MD, my daughters, Jennifer and Heather, for their love, support, and encouragement. And to the countless radiology residents it has been my privilege to teach over the course of my career and to my colleagues at the Saint Lukes Hospital of Kansas City, Missouri, whose curiosity, enthusiasm, and thirst for knowledge greatly enrich my academic life.

Melissa L. Rosado-de-Christenson, MD, FACR

To the many radiology residents I have had the pleasure and honor of teaching at Massachusetts General Hospital, Rhode Island Hospital, and the Armed Forces Institute of Pathology. Your spirit and enthusiasm make it all enjoyable.

Gerald F. Abbott, MD

SECTION I
Normal Thoracic Anatomy

SECTION II
Developmental Anomalies

SECTION III
Airways Disease

SECTION IV
Atelectasis

Patterns of Lobar Atelectasis

Patterns of Multi-Lobar Atelectasis

Miscellaneous Patterns of Atelectasis

SECTION V
Pulmonary Infections and Aspiration Pneumonia

Less Common Bacterial Pneumonias

Miscellaneous

SECTION VI
Neoplastic Disease

SECTION VII
Thoracic Trauma

Non-Vascular Thoracic Trauma Pleura Injuries

Parenchymal Lung Injuries

Airways Injuries

Pericardial and Cardiac Injuries

Diaphragmatic Injuries

Thoracic Skeletal and Chest Wall Injuries

Vascular Thoracic Trauma

Miscellaneous

SECTION VIII
Diffuse Lung Disease

SECTION IX
Occupational Lung Disease

SECTION X
Adult Cardiovascular Disease

Pulmonary Artery

Pulmonary Edema

Abnormalities of the Thoracic Aorta

Valvular Disease

Myocardial Calcifications

Pericardial Disease

Vasculitides

Cardiac Masses

Miscellaneous

Cardiac Devices

SECTION XI
Abnormalities of the Mediastinum

SECTION XII
Pleura, Chest Wall, and Diaphragm

SECTION XIII
Post-Thoracotomy Chest

Cardiothoracic radiology is at the heart of radiology, with no single examination being performed more often in private or academic practice environments than the chest radiograph. A survey of X-ray use in the early 1960s by the National Center for Health Statistics reported that medical radiation accounted for half of human radiation exposure, and that of the 85 million visits for X-rays, 51 million (60%) were for chest X-rays (Health Statistics, US National Health Survey, Volume of X-ray Visits, U.S. Department of Health, Education and Welfare, October 1962). Today, estimates are that over 100 million chest X-rays are performed annually in the United States. While seemingly simple and straightforward, it can be argued that there is no exam more complex and nuanced in the entire field of radiology. I remember attending an American College of Radiology Intersociety Conference in 1998 on the topic of Are todays residents ready for tomorrows practice?, the summary of which concluded that residents not only needed to be prepared to read large numbers of films accurately and efficiently, but that they be able to recognize normal, with all of its variations, in order to minimize recommendations for more complex and expensive testing, only to discover there was nothing of clinical significance.