It helps to follow the first principles of interpretation

Case 69: What Ails Chest Imaging Training?

It helps to follow the first principles of interpretation

Bhavin Jankharia

This is a 60-years old man who was referred for a CT guided biopsy of a left upper lobe lung mass, that turned out not to be so. The reporting person had not bothered to look at the plain scan and to check for calcification / enhancement, etc.

This is one of the first principles of CT scan interpretation. Look at the plain scan to check for calcification and enhancement.

The video runs through the case, other similar cases, discusses the first principles of interpretation and the results of the recent AI paper on diagnosing active TB with respect to the performance of India-based radiologists compared to AI and US-based radiologists.

Please note that the video only plays within this browser page and not outside of this browser page. If the video does not autoplay in your email, then you will need to open this page in your browser, by clicking "View Online", in the 2nd line below the title of the post and next to my name.

Table of Contents

Index and Table of Contents
Technical and Practice Issues * Case 11: 62-years old misdiagnosed to have interstitial lung disease - mid-inspiratory and expiratory scans * Snippet 03: Radiation risk and CT chest * Case 23: 60-years old - 40-pack years smoker - right upper lobe nodule - resolved using “mean” reconstructions…

Other Cases

Case 105: Rib Lesion Biopsy - Along the Long Axis
Rib lesion biopsies are simple if the correct approach is chosen
Hospitals Should Only Be Places of Last Resort
Homecare is as good, if not better and usually less expensive than hospital care.
Case 26: A Dorsal Hand Swelling
30-years old felt a non-painful swelling along the dorsum of his hand
Lung MassTuberculosis

Comments


Featured Posts

Lecture: How to Approach a Patient with Interstitial Lung Abnormality (ILA)

Case 95: When the Nodule is an Island

Lecture: Imaging of Sarcoidosis

Snippet: The Jellyfish and Multiple Pleural Tag Signs

Lecture: CT of Hypersensitivity Pneumonitis

Case 94: How Early is Early...

Case 93: The Asymmetric Chest Wall

Lecture: Lung Cancer Screening in a TB Endemic Country

REF-Cafe Roentgen Thoracic Thursday Lecture - XII - 26th Oct 2023: Mediastinum

Case 92: New Ground Glass in a Patient with a Fibrosing ILD

REF-Cafe Roentgen Thoracic Thursday Lecture - XI - 19th Oct 2023: Non-Resolving Opacity

Case 91: Bubble Lucencies, Central Lucencies, Bubbly Consolidation

Case 90: The Probable UIP Conundrum - Time Matters

REF-Cafe Roentgen Thoracic Thursday Lecture - X - 21st Sep 2023: Solitary Pulmonary Nodule - III - Subsolid Nodule

Case 89: Diaphragmatic Dysfunction – Eventration, Paralysis…Does it Matter

REF-Cafe Roentgen Thoracic Thursday Lecture - IX - 14th Sep 2023: Solitary Pulmonary Nodule - PFN, Juxtrapleural Nodule, Nodules in Smokers and Lung-RADs

REF-Cafe Roentgen Thoracic Thursday Lecture - VIII - 07th Sep 2023: Solitary Pulmonary Nodule > 8 mm

Snippet 17: How to Diagnose Subtle Progression of Interstitial Lung Disease at the Secondary Pulmonary Lobule Level

Case 88: Flour Mill Worker Disease

REF-Cafe Roentgen Thoracic Thursday Lecture - VII - 10th Aug 2023: Diffuse Cystic Lung Disease

REF-Cafe Roentgen Thoracic Thursday Lecture - VI - 03rd Aug 2023: Smoking Related Lung Diseases

Snippet 16: Inflammatory vs Fibrotic ILD

REF-Cafe Roentgen Thoracic Thursday Lecture - V - 20th July 2023: All About the Centrilobular Nodule

REF-Cafe Roentgen Thoracic Thursday Lecture - IV - 13th July 2023: Non-ILD Diffuse Lung Diseases

Case 87: Thymic Cyst or Cystic Thymoma

REF-Cafe Roentgen Thoracic Thursday Lecture - III - 29th June 2023: Non-Fibrosing ILDs

REF-Cafe Roentgen Thoracic Thursday Lecture - II - 22nd June 2023: Fibrosing ILDs - contd & Introduction to Non-Fibrosing ILDs

REF-Cafe Roentgen Thoracic Thursday Lecture - I: Fibrosing ILDs - 2023 06 15

Approach to Small Diffuse Lung Nodules - Lecture

Snippet 09: Variant Fibrosis

Snippet 08: Mosaic Attenuation

Snippet 04: Fibrotic NSIP vs Probable UIP

Snippet 02: Centrilobular / Bronchocentric Nodules

Snippet 01: Differentiating Traction Bronchiectasis from Honeycombing