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 to simulate a chest radiograph
- Snippet 11: ACR appropriateness criteria for diffuse lung disease imaging and ACR-STR guidelines
- Dual energy CT (DECT)
- Case 14: 70-years old man with COVID-19 - DECT showing perfusion defects
- Case 19: 55-years old with COVID-19 vasculopathy / angiopathy - 10 1/2 months follow-up
- Case 24: 55-years old - perfusion defects in chronic thromboembolic pulmonary hypertension (CTEPH)
- Case 38: 40-years old man with COVID-19 - 15 months follow-up of COVID changes and vasculopathy
Principles of Interpretation / Approach / Signs / Indications
-
Signs and Differentials
- Snippet 01: Differentiating traction bronchiectasis from honeycombing
- Snippet 02: Centrilobular / bronchocentric nodules
- Snippet 04: Fibrotic NSIP vs probable UIP
- Case 16: 56-years old - Approach to interpretation of diffuse ground glass
- Case 17: 17-years old with hemoptysis - tuberculosis - differentiating dense centrilobular nodules of infectious bronchiolitis from soft nodules due to blood
- Snippet 06: Six fibrosing ILD questions answered
- Snippet 07: CT signs suggesting connective tissue disease (CTD) ILD
- Snippet 08: Mosaic attenuation - differentiating CTEPH, small airways disease and interstitial lung disease
- Snippet 09: Variant fibrosis in connective tissue disease (CTD) ILD
- Snippet 10: Diagnosis of bronchiectastis
- Snippet 12: Visual classification of centrilobular and paraseptal emphysema
- Snippet 13: Spectrum of smoking related changes in a single patient
- Case 66: Importance of the inspiratory-expiratory pair
- Case 68: Looking at the Lungs Carefully When There is Lymphadenopathy
- Snippet 15: CT Scan Findings in Sarcoidosis
- Lecture: Signs of Fibrosing ILDs - Reticular opacities, traction bronchiectasis and honeycombing
- Lecture: Approach to diffuse small lung nodules
- Lecture: Overview of Diffuse Lung Diseases
-
First Principles of Interpretation
- Do not ignore the non-contrast (plain) scan - 3 cases
- Case 33: 70-years old - looking at the plain scan to resolve active nodes on PET/CT - old healed granulomatous infection
- Case 50: First princples - look at the noncontrast (plain) scan subcarinal bronchogenic cyst
- Case 55: First principles - trace the bronchus - non-resolving consolidation - foreign body - clove in left lower lobe bronchial segment
- Case 69 - What ails chest imaging training? 60-years old with a left upper lobe lesion for biopsy
-
Indications
Guidelines / White Papers
- 2020 ATS/JRS/ALAT - Hypersensitivity pneumonitis - new classification
- Snippet 11: ACR appropriateness criteria for diffuse lung disease imaging and ACR-STR guidelines
- 2022 ATS/ERS/JRS/ALAT - Progressive pulmonaryfibrosis - fibrotic hypersensitivity pneumonitis
- 2022 ATS/ERS/JRS/ALAT - Progressive pulmonaryfibrosis - scleroderma ILD
- 2022 ATS/ERS/JRS/ALAT - CPFE - Official statement
Lung
-
Interstitial Lung Diseases
-
Fibrotic
- UIP/IPF
- Case 5: 70-years old male smoker - usual interstitial pneumonia (UIP) / idiopathic pulmonary fibrosis (IPF)
- Case 6: 63-years old man - probable usual interstitial pneumonia (probable UIP) / idiopathic pulmonary fibrosis (IPF)
- Case 7: 75-years old man - UIP/IPF with a complication - lung nodule - squamous cell carcinoma
- Snippet 01: Differentiating traction bronchiectasis from honeycombing
- Snippet 04: Fibrotic NSIP vs probable UIP
- Snippet 06: Six fibrosing ILD questions answered
- Combined Pulmonary Fibrosis and Emphysema (CPFE)
- Fibrotic NSIP / Connective Tissue Disease - ILD
- Snippet 04: Fibrotic NSIP vs probable UIP
- Case 10: 67-years old woman - fibrotic organizing pneumonia (OP) - Sjogren's
- Snippet 07: CT signs suggesting connective tissue disease (CTD) ILD
- Snippet 09: Variant fibrosis in connective tissue disease (CTD) ILD
- Case 39: 27-years old - scleroderma ILD - secondary pleuroparenchymal fibroelastosis (PPFE)
- Case 58: 27-years old - scleroderma ILD - progressive pulmonary fibrosis
- Non-UIP/Non-IPF
- Fibrotic Hypersensitivity Pneumonitis
- Chronic Pulmonary Sarcoidosis
- Indeterminate
- Miscellaneous
- UIP/IPF
-
Nonfibrotic
- Case 16: 56-years old - PCP / PJP presenting as diffuse ground glass
- Case 26: 16-years old - pulmonary alveolar proteinosis (PAP)
- Case 44: 33-years old - ANCA-associated vasculitis and diffuse alveolar hemorrhage
- Case 46: 70-years old - nitrofurantoin lung injury with organizing pneumonia (OP) pattern
- Case 59: 73-years old - nivolumab lung injury - pre-existing ILA
- Case 64: 70-years old - H1N1 lung involvement - organizing pneumonia (OP) pattern
-
Interstitial Lung Abnormality (ILA)
-
Nodular
- Case 12: 38-years old - nodules and septal thickening - acute onset - tropical pulmonary eosinophilia
- Snippet 02: Centrilobular / bronchocentric nodules
- Case 29: 58-years old - sarcoidosis over 18 years
- Case 30: 51-years old - classic silicosis
- Case 68: 47-years old - Stage II sarcoidosis
- Lecture: Approach to diffuse small lung nodules
- Case 84: 30-years old - classic miliary tuberculosis
-
Miscellaneous
- Case 3: 19-years old man with lungs of stone - alveolar microlithiasis
- Case 4: 70-years old with carcinoma breast - lymphangitis carcinomatosis
- Case 60: 69-years old - radiation pneumonitis and fibrosis
- Case 70: 51-years old - idiopathic diffuse pulmonary ossification (DPO)
- Case 79: 74-years old man - radiation recall pneumonitis
-
-
Cystic Lung Diseases
-
Emphysema / COPD
- Snippet 12: Visual classification of centrilobular and paraseptal emphysema
- Snippet 13: Spectrum of smoking related changes in a single patient
- Case 48: 78-years old - combined pulmonary fibrosis and emphysema (CPFE)
- Case 54: 56-years old - never-smoker - COPD - severe small airways disease
- Case 67: 69-years old - combined pulmonary fibrosis and emphysema (CPFE) and the official statement from ATS/ERS/JRS/ALAT
-
Focal Lung Diseases
-
Solitary Nodule
- Case 1C: 67-years old with a calcified lung nodule - old granuloma - part of the "do not ignore the plain scan" series
- High risk CT imaging features in lung cancer screening - lecture
- Case 7: 75-years old man - UIP/IPF with a complication - lung nodule - squamous cell carcinoma
- Case 23: 60-years old - 40-pack years smoker - right upper lobe nodule - old granuloma
- Case 31: 54-years old - incidental lung nodule - pulmonary sclerosing pneumocytoma
- Case 52: 54-years old - solitary nodule with cyst - neuroendocrine tumor - carcinoid
- Case 76: 57-years old - solitary perifissural nodule (PFN)
-
Multiple Nodules
-
Subsolid Nodule
-
Masses
- Case 27: 18-years old - lung mass - sequestration
- Case 28: 70-years old - multiple lung masses - lipoid pneumonia
- Case 41: 78-years old - non-resolving opacity - invasive mucinous adenocarcinoma
- Case 53: 18-years old - lung mass with calcification - inflammatory myofibroblastic tumor
- Case 78 - 24-years old - slow growing lung mass with mediastinal component - classic Hodgkin lymphoma
-
Consolidation
-
Cavities
-
Miscellaneous / Others
-
Airways
-
Bronchiectasis
-
Small airways
- Snippet 08: Mosaic attenuation - differentiating CTEPH, small airways disease and interstitial lung disease
- Case 47: 64-years old smoker - respiratory bronchiolitis (RB)
- Snippet 13: Spectrum of smoking related changes in a single patient
- Case 54: 56-years old - never-smoker - COPD - severe small airways disease
- Case 71: 35-years old - episodic breathlessness - Sywer-James-MacLeod's syndrome
-
Large airways
- Case 13: 3-years old - congenital lobar emphysema
- Case 37: 20-years old - stalactite trachea - tracheobronchopathia osteochondroplastica
- Case 40: 49-years old - primary tracheal chondrosarcoma
- Case 43: 21-years old - endobronchial and tracheal tuberculosis
- Case 55: 65-years old - non-resolving consolidation - foreign body - clove in left lower lobe bronchial segment
- Case 66: 53-years old - foreign body - betelnut / supari - left main bronchus
Mediastinum / Hilum
-
Masses
- Case 1A: 22-years old with with mediastinal extension of thyroid nodule - part of the "do not ignore the plain scan" series
- Case 1B: 19-years old with left mediastinal / hilar fibrosis - part of the "do not ignore the plain scan" series
- Case 15: 36-years old - mediastinal fibrosis
- Case 42: 15-years old - prevascular space mass - lymphoma
- Case 50: 43-years old - subcarinal bronchogenic cyst
- Case 51: 63-years old - large left ventricular cardiac aneurysm with egg-shell calcification
- Case 80: 55-years old - upper thoracic paravertebral posterior mediastinal mass - schwannoma
- Case 81: 57-years old - medial cardiophrenic angle mass - foramen of Morgagni hernia
-
Lymphadenopathy
-
Non-Mass Pathology
Vascular
-
Pulmonary
-
Pulmonary Thromboembolism
-
Pulmonary Hypertension
-
Arteriovenous Fistula
-
Venous Lesions
-
Miscellaneous
-
-
Aorta and Others
Pleura / Extrapleural
- Case 25: 45-years old - extrapleural masses - thoracic splenosis
- Case 74: 76-years old - multifocal pleural masses - metastases from thymic carcinoma
Chest Wall, Diaphragm
- Case 25: 45-years old - extrapleural masses - thoracic splenosis due to old diaphragmatic rupture
- Case 81: 57-years old - medial cardiophrenic angle mass - foramen of Morgagni hernia
- Case 82: 60-years old - type I sliding hiatus hernia
Congenital / Developmental
- Case 13: 3-years old - congenital lobar emphysema
- Case 27: 18-years old - lung mass - sequestration
- Case 50: 43-years old - subcarinal bronchogenic cyst
- Case 61: 68-years old - venous aneurysms in lung
- Case 62: 41-years old - venous brachiocephalic aneurysm
- Case 63: 48-years old - unilateral absence pulmonary artery (UAPA)
- Case 65 - 46-years old - Birt-Hogg-Dube (BHD) syndrome
Infection
-
Tuberculosis
- Case 8: 14-years old - rupture of a large necrotic paratracheal mediastinal node into the lung - tuberculosis
- Case 17: 17-years old with hemoptysis - tuberculosis and both dense and soft centrilobular nodules
- Case 23: 60-years old - 40-pack years smoker - right upper lobe old granuloma
- Case 43: 21-years old - endobronchial and tracheal tuberculosis
- Case 69: 60-years old with mass-like calcific lesions
- Lecture: Tuberculosis vs sarcoidosis
- Case 84: 30-years old - classic miliary tuberculosis
-
Fungal
-
Bacterial
-
Parasitic
-
Viral
- Case 2: 69-years old man with COVID-19 - resolution of so-called "fibrosis" at 9 months follow-up
- Case 14: 70-years old man with COVID-19 - perfusion defects due to COVID angiopathy at 3 1/2 weeks
- Case 18: 51-years man with COVID-19 - 11 months follow-up
- Case 19: 55-years old with COVID-19 vasculopathy / angiopathy - 10 1/2 months follow-up
- Case 32: 69-years old man with COVID-19 - 16 1/2 months follow-up
- Case 38: 40-years old man with COVID-19 - 15 months follow-up of COVID changes and vasculopathy
- Case 56: 66-years old - COVID-19 fibrosis - UIP-like
- Case 64: 70-years old - H1N1 lung involvement
Neoplasms
-
Malignant
- Case 4: 70-years old with carcinoma breast - lymphangitis carcinomatosis
- Case 7: 75-years old man - UIP/IPF with a complication - lung nodule - squamous cell carcinoma
- Case 9: 64-years old - non-resolving consolidation - invasive mucinous adenocarcinoma
- Case 22: 64-years old - growing subsolid nodule - adenocarcinoma
- Case 40: 49-years old - primary tracheal chondrosarcoma
- Case 41: 78-years old - non-resolving opacity - invasive mucinous adenocarcinoma
- Case 42: 15-years old - prevascular space mass - lymphoma
-
Benign
-
Lung Cancer Screening
Connective Tissue Diseases / Vasculitides / Sarcoidosis
-
General
-
Sarcoidosis
-
Scleroderma
-
Sjogren's
-
Vasculitis
Exposure (Smoking, Occupational, Biomass Gas) / Poisonings / Radiation & Medication Induced Injury
-
Smoking
- Case 23: 60-years old - 40-pack years smoker - right upper lobe nodule - resolved using "mean" reconstructions to simulate a chest radiograph
- Snippet 12: Visual classification of centrilobular and paraseptal emphysema
- Case 47: 64-years old smoker - respiratory bronchiolitis (RB) and discussion of smoking related changes
- Snippet 13: Spectrum of smoking related changes in a single patient
- Case 48: 78-years old - combined pulmonary fibrosis and emphysema (CPFE)
- Case 67: 69-years old - combined pulmonary fibrosis and emphysema (CPFE) and the official statement from ATS/ERS/JRS/ALAT
-
Air Pollution / Biomass Gas
-
Occupational
-
Poisoning
-
Medication Induced Lung Injury (MIPI)
-
Radiation Lung Injury