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: Massive Cerebral Infarction

 

Figure 1. Movie of head CT scan.

 

Figure 2. Movie of head MRI.

A 77 year old man with a history of chronic heart failure was admitted to the hospital complaining of left sided hemiparesis for about an hour. He was oriented but had slurred speech and was unable to move his left arm or leg. His pulse was irregular and ECG showed atrial fibrillation. A CT scan of the head (Figure 1) was interpreted as relatively unremarkable. Magnetic resonance imaging (MRI) of the head (Figure 2) showed massive right brain infarction. These studies illustrate the higher sensitivity of MRI in comparison to CT in the detection of stroke, especially early after the onset on symptoms (1).

Nijamudin Samani, MD; Yong-Jie Yin, MD; Sanjaya Karki, MD; and Jing-Xiao Zhang, MD

Department of Emergency and Critical Care

Second Hospital of Jilin University

Norman Bethune College of Medicine

Changchun, China

Reference

  1. Chalela JA, Kidwell CS, Nentwich LM, Luby M, Butman JA, Demchuk AM, Hill MD, Patronas N, Latour L, Warach S. Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prospective comparison. Lancet. 2007;369(9558):293-8. [CrossRef] [PubMed]

Reference as: Samani N, Yin YJ, Karki S, Zhang JX. Medical image of the week: massive cerebral infarction. Soutwest J Pulm Crit Care. 2013;7(1):25-6. doi: http://dx.doi.org/10.13175/swjpcc084-13 PDF

Read More