Phillip M. Boiselle - Thoracic Imaging, (Case Review)

Thoracic Imaging
CASE REVIEW

Series Editor

David M. Yousem, MD, MBA

Director of Neuroradiology and Professor of Radiology

Johns Hopkins Hospital

Vice Chairman of Program Development

Russell H. Morgan Department of Radiology and Radiological Science

The Johns Hopkins Medical Institution

Baltimore, Maryland

Other Volumes in the CASE REVIEW Series

Brain Imaging, Second Edition

Breast Imaging

Cardiac Imaging

Emergency Radiology

Gastrointestinal Imaging, Second Edition

General and Vascular Ultrasound

Genitourinary Imaging

Head and Neck Imaging, Third Edition

Musculoskeletal Imaging, Second Edition

Nuclear Medicine, Second Edition

Obstetric and Gynecologic Ultrasound, Second Edition

Pediatric Imaging

Spine Imaging

Vascular and Interventional Imaging

CASE REVIEW

SECOND EDITION

Phillip M. Boiselle, MD

Associate Professor of Radiology

Harvard Medical School;

Vice Chair of Quality, Safety and Performance Improvement

Director, Thoracic Imaging Section

Beth Israel Deaconess Medical Center

Boston, Massachusetts

Theresa C. McLoud, MD

Professor of Radiology

Harvard Medical School;

Associate Radiologist-in-Chief

Director of Education

Thoracic Radiologist

Massachusetts General Hospital

Boston, Massachusetts

Gerald F. Abbott, MD

Associate Professor of Diagnostic Imaging

Warren Alpert Medical School of Brown University

Providence, Rhode Island;

Associate Radiologist of Division of Thoracic Imaging and Intervention

Massachusetts General Hospital

Boston, Massachusetts

CASE REVIEW SERIES

1600 John F. Kennedy Blvd

Ste 1800

Philadelphia, PA 19103-2899

THORACIC IMAGING: CASE REVIEW, SECOND EDITION ISBN: 978-0-323-02999-5

Copyright 2011, 2001 by Mosby, Inc., an affiliate of Elsevier Inc.

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Notices

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.

Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.

With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.

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Previous edition copyrighted 2001 by Mosby, Inc.

International Standard Book Number 978-0-323-02999-5

Acquisitions Editor: Rebecca Gaertner

Developmental Editor: David Mack

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Design Direction: Steve Stave

To my wife, Ellen

PMB

To my brother, Terry

GFA

To my sister, Veronica

TCM

What is more fundamental to radiology than thoracic imaging? Radiology training no doubt starts here for most residents, and yet the depth of investigation into cardiopulmonary pathology stretches into the final year of residency (or fellowship) training. The lungs and heart yield ever greater challenges to the reader, even as our imaging modalities get more and more sophisticated or perhaps because our imaging modalities get more and more sophisticated. So it is that the Thoracic Imaging: Case Review, second edition, grows and grows and deals with disease in an even more intelligent manner.

I am grateful to Drs. Boiselle, Abbott, and McLoud for their hard work in assembling a group of cases that span the gamut from basic pathology to complicated disease. In addition they have allowed my goal of taking the Series to the next higher plane, that of an on-line interactive tool, to be realized for chest pathology. I think that the print format has its many advantages, but the electronic format also offers unique ways to teach. The Case Review Series must be adaptable and change with the ways trainees think and study. The authors of Thoracic Imaging have embraced these concepts and have helped enormously in launching not only their second edition, but also the Case Review Series of the future.

I hope you enjoy Thoracic Imaging, second edition, whether you are currently reading hard copy or soft copy or both. Great job, Doctors!

David M. Yousem, MD, MBA

The presentation and discussion of unknown cases is an integral component of formal diagnostic radiology education. The Case Review Series uses this established format as a means of providing focused, subspecialty examination preparation for radiology residents. This book, Thoracic Imaging, also serves as a practical review for fellows and practicing radiologists who wish to sharpen their skills in this area.

This second edition of Thoracic Imaging maintains the same two primary goals as the original edition. First, it uses a case format presentation to illustrate and review the imaging features of disorders that span the spectrum of thoracic diseases with which a graduating resident should have a working familiarity. Accordingly, Thoracic Imaging comprises a diverse group of more than 150 cases using images from several modalities, including conventional radiography, computed tomography, high-resolution computed tomography, magnetic resonance imaging, and positron emission tomography. Similar to other books in this series, the cases are categorized by level of difficulty: Opening Round, Fair Game, and Challenge. Each case is followed by a list of questions, with answers provided on the verso page. The answers are followed by a brief discussion section that emphasizes characteristic imaging features, differential diagnostic considerations, and key points of clinical information for each case. For readers who desire additional information about a given topic, we have included a helpful reference for further reading. A cross-reference to