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.

January 2014 Imaging Case of the Month

Michael B. Gotway, MD

 

Department of Radiology

Mayo Clinic Arizona

Scottsdale, AZ

 

Clinical History

A 77-year-old man presented for an executive health physical. His past medical history was significant for coronary artery disease, renal stones, gout, and a left nephrectomy for clear cell renal carcinoma 17 years earlier. Chest radiography (Figure 1) was performed. Prior chest radiographs from the previous year (Figure 2) and 7 years earlier (Figure 3) are shown for comparison.

 

Figure 1. Frontal (A) and lateral (B) chest radiography. 

 

 

 Figure 2. Frontal (A) and lateral (B) chest radiography performed one year prior to presentation. 

Figure 3. Frontal chest radiography performed 7 years prior to presentation.

 

Which of the following statements regarding the chest radiograph is most accurate? (Click on the correct answer to move to next panel)

  1. The chest radiograph shows a mass
  2. The chest radiograph shows an unusual cardiac configuration
  3. The chest radiograph shows basal predominant linear opacities suggesting fibrosis
  4. The chest radiograph shows multifocal ground-glass opacity and consolidation associated with linear and reticular abnormalities
  5. The chest radiograph shows multiple nodules

Reference as: Gotway MB. January 2014 imaging case of the month. Southwest J Pulm Crit Care. 2014;8(1):27-40. doi: http://dx.doi.org/10.13175/swjpcc002-14 PDF

  

 

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