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: Pulmonary Artery Endarterectomy

Figure 1. Organized thrombus with fresh clot removed during pulmonary thromboendarterectomy.

A 34 year-old male was admitted after an episode of syncope.  An echocardiogram revealed moderate enlargement of the RA and RV and an estimated systolic PA pressure of 85 mm Hg.  A perfusion scan showed segmental perfusion defects in the RUL, RML and LLL. He underwent pulmonary thromboendarterectomy with removal of chronic and partially organized thrombus from all lobar and segmental vessels of the right lung, lingula and left lower lobe.  Organized thrombus with some fresh clot is shown.

Nathaniel Reyes, MD and Linda Snyder, MD

Division of Pulmonary, Critical Care, Allergy and Sleep Medicine

Arizona Respiratory Center

University of Arizona

Reference as: Reyes N, Snyder L. Medical image of the week: pulmonary artery endarterectomy. Southwest J Pulm Crit Care 2013;6(1):37. PDF

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