Imaging

Those who care for patients with pulmonary, critical care or sleep disorders rely heavily on chest radiology and pathology to determine diagnoses. The Southwest Journal of Pulmonary, Critical Care & Sleep publishes case-based articles with characteristic chest imaging and related pathology.

The editor of this section will oversee and coordinate the publication of a core of the most important chest imaging topics. In doing so, they encourage the submission of unsolicited manuscripts. It cannot be overemphasized that both radiologic and pathologic images must be of excellent quality. As a rule, 600 DPI is sufficient for radiographic and pathologic images. Taking pictures of plain chest radiographs and CT scans with a digital camera is strongly discouraged. The figures should be cited in the text and numbered consecutively. The stain used for pathology specimens and magnification should be mentioned in the figure legend. Those who care for patients with pulmonary, critical care or sleep disorders rely heavily on chest radiology and pathology to determine diagnoses. The Southwest Journal of Pulmonary, Critical Care & Sleep publishes case-based articles with characteristic chest imaging and related pathology. The editor of this section will oversee and coordinate the publication of a core of the most important chest imaging topics. In doing so, they encourage the submission of unsolicited manuscripts. It cannot be overemphasized that both radiologic and pathologic images must be of excellent quality. As a rule, 600 DPI is sufficient for radiographic and pathologic images. Taking pictures of plain chest radiographs and CT scans with a digital camera is strongly discouraged. The figures should be cited in the text and numbered consecutively. The stain used for pathology specimens and magnification should be mentioned in the figure legend.

Rick Robbins, M.D. Rick Robbins, M.D.

Medical Image of the Week: Expiratory Imaging Accentuates Mosaic Attenuation

A 66 year old female presented with cough, fever and marked shortness of breath.   Infectious work up was found to be negative.  An inspiratory high resolution thoracic CT (HRCT) image (A) shows faint groundglass and mosaic lung attenuation with subtle centrilobular ill-defined nodules.  However, an image obtained on expiration (B) shows more obvious mosaic attenuation which suggesting air-trapping. Due to progressive dyspnea, a lung biopsy was performed and revealed a bronchiolocentric cellular interstitial pneumonia with non-caseating granuloma consistent with subacute hypersensitivity pneumonitis.

Veronica A. Arteaga, MD and Kenneth S. Knox, MD

Divisions of Thoracic Imaging and Pulmonary/Critical Care Medicine

University of Arizona

Tucson, Arizona

Reference as: Arteaga VA, Knox KS. Medical image of the week: expiratory imaging accentuates mosaic attenuation. Southwest J Pulm Crit Care. 2013;6(5):245. PDF

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