Radiology Notes

My notes during radiology residency, fellowship, and beyond…

Archive for April 2010

Centrilobular Lung Nodules

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  • bronchiolitis
  • endobronchial spread of TB, MAC
  • bronchopenumonia
  • hypersensitivity pneumonitis
  • endobronchial spread of tumor
  • pneumoconiosis
  • organizing pneumonia (BOOP)
  • histiocytosis
  • edema or vasculitis
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Written by lmwong

April 25, 2010 at 5:17 pm

Random Lung Nodules

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  • miliary TB
  • miliary fungal infections
  • hematogenous mets
  • sarcoidosis

Written by lmwong

April 25, 2010 at 5:09 pm

Perilymphatic Lung Nodules

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  • sarcoid
  • lymphangitic spread of tumor
  • silicosis and CWP
  • amyloid
  • LIP

Written by lmwong

April 25, 2010 at 5:00 pm

Right Pneumonectomy Syndrome

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  • occurs most commonly in children and adolescents
  • right posterior deviation of the mediastinum
  • counter-clockwise rotation of heart and great vessels
  • displacement of hyperinflated left lung into right anterior hemithorax
  • develop airway obstruction from compressoin between left pulmonary artery and descening aorta; compression of left main bronchus, distal trachea, or LLL bronchus

Written by lmwong

April 5, 2010 at 9:36 am

Posted in chest, pediatrics, pulmonary

Crazy Paving Pattern

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Thickened inter and intralobular structures, forming polygonal shapes, with no architectural distortion. Diseased lung well demarcated from normal lung forming a geographic pattern.
  • alveolar proteinosis (classically)
  • sarcoidosis
  • pulmonary hemorrhage
  • PCP
  • mucinous bronchoalveolar carcinoma
  • pulmonary venoocculusive disease
  • ARDS

Written by lmwong

April 5, 2010 at 9:33 am

Jepperson-Wong-Lai Syndrome

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  • Bilateral fat filled inguinal hernias
  • caused by concomitant weakness in both inguinal rings plus herniation of intra-abdominal fat
  • asymptomatic
  • 50% male
  • Risk factors: obesity, midwest
  • Associations: fatty liver disease, heart disease, diabetes
  • Benign incidental finding

Written by lmwong

April 1, 2010 at 3:19 pm