By Ralph Weissleder, Jack Wittenberg, Mukesh Mgh Harisinghani, John W. Chen, M.D.
Primer of Diagnostic Imaging, "the pink book," offers a entire, updated examine diagnostic imaging in an easy-to-read, bulleted layout. Drs. Ralph Weissleder, Jack Wittenberg, Mukesh Harisinghani, and John W. Chen mix certain illustrations and photographs with suggestions at the most up-to-date purposes of puppy, CTA, and MRA right into a transportable source for handy reference anyplace you move. on-line entry at www.expertconsult.com makes it even more straightforward to faucet into the suggestions you want to live to tell the tale your radiology residency. grab the nuances of key diagnostic info for all physique platforms, similar to very important symptoms, anatomic landmarks, and customary radiopathologic changes, via photos and illustrations for the whole diversity of radiologic modalities and specialties. Reference details fast utilizing the easy-to-read, one-column, bulleted structure. paintings via diagnoses via hundreds of thousands of differentials that assist you arrange for board certification. evaluate info successfully because of more room for notice taking and mnemonics and descriptive terminology that make it effortless to recollect key proof, options, and photographs. grasp the most recent applied sciences, together with hybrid puppy, CTA, and MRA, via up-to-date and accelerated insurance of imaging modalities and their purposes. comprehend the impression of the most recent illness entities at the interpretation of radiological findings. locate the knowledge you wish simply with a brand new streamlined textual content, with much less crucial details moved on-line. entry the totally searchable contents on-line at www.expertconsult.com. Primer of Diagnostic Imaging is famous because the survival consultant for radiology citizens
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Extra info for Primer of Diagnostic Imaging, 5th Edition
Sample text
Clinical Findings • Clubbing, 60% • Nonproductive cough, 50% • Dyspnea • Weight loss, 40% Pathology Pathologic changes are nonspecific and also occur in a variety of secondary disorders such as collagen vascular disease, drug reactions, pneumoconiosis, chronic hypersensitivity pneumonitis. Histology demonstrates alveolar fibrosis characterized by spatial and temporal heterogeneity, with architectural distortion. 1-40 and 1-41) Distribution • IPF: Primarily in lower lung zones • Peripheral subpleural involvement HRCT pattern • Early: ground-glass appearance • Later: reticular pattern predominantly in lower lobes • End stage: honeycombing • Traction bronchiectasis indicates fibrosis.
The organism is most prevalent in soil that contains excrement of bats and birds (bat caves, chicken houses, old attics, or buildings). Disseminated form (immunocompromised patients) • Miliary nodules • Calcifications in liver and spleen Mediastinal Histoplasmosis Mediastinal histoplasmosis may follow pulmonary histoplasmosis. Two distinct entities (which may not always be separable from each other): Mediastinal granuloma • Results from spread of H. 1-21) Coccidioides immitis is endemic in the southwest United States (San Joaquin Valley, “valley fever”) and in Central and South America.
Lymphoma (<5% of patients) Pulmonary manifestations of Kaposi sarcoma (almost always preceded by cutaneous/visceral involvement): • Nodules 1 to 3 cm Single or multiple Virtually always associated with skin lesions • Coarse linear opacities emanating from hilum • Pleural effusions (serosanguineous), 40% • Adenopathy • Lymphangitic tumor spread Kaposi • Pleural tumors • Mediastinal tumors • Tumors of the airway • Chest wall tumors Classification of pulmonary neoplasm Malignant tumors • Bronchogenic carcinoma • Lymphoma • Metastases • Sarcomas, rare Low-grade malignancies (previously bronchial adenoma) • Carcinoid, 90% • Adenoid cystic carcinoma (previously cylindroma, resembles salivary gland tumor), 6% • Mucoepidermoid carcinoma, 3% • Pleomorphic carcinoma, 1% Benign tumors, rare • Hamartoma • Papilloma • Leiomyoma • Hemangioma • Chemodectoma • Pulmonary blastoma • Chondroma • Multiple pulmonary fibroleiomyomas • Pseudolymphoma Percutaneovus biopsy Nodular Coarse Figure 1-31 AIDS-related lymphoma Non-Hodgkin lymphoma (usually aggressive B-cell type) > Hodgkin lymphoma.