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Access to the eBook is limited to the first individual who redeems the PIN, located on the inside cover of this book, at expertconsult.inkling.com and may not be transferred to another party by resale, lending, or other means. 2015v1.0 Problem Solving in CHEST IMAGING This page intentionally left blank Problem Solving in CHEST IMAGING Subba R. Digumarthy, MD Radiologist Massachusetts General Hospital; Assistant Professor of Radiology Harvard Medical School Boston, Massachusetts Suhny Abbara, MD Chief, Cardiothoracic Imaging Division Professor, Department of Radiology UT Southwestern Medical Center Dallas, Texas Jonathan H. Chung, MD Section Chief, Thoracic Radiology Associate Professor The University of Chicago Medicine Chicago, Illinois PROBLEM SOLVING IN CHEST IMAGING ISBN: 978-0-323-04132-4 Copyright © 2020 by Elsevier, Inc. All rights reserved. For chapter 38: Imaging of the Pericardium, Seth Kligerman retains copyright for the original figures/images. 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To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Library of Congress Control Number: 2018959607 Publisher: Russell Gabbedy Content Development Specialist: Caroline Dorey-Stein Publishing Services Manager: Catherine Jackson Book Production Specialist: Kristine Feeherty Design Direction: Bridget Hoette Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 1600 John F. Kennedy Blvd. Ste 1600 Philadelphia, PA 19103-2899 To our families: To my dear wife Nagamani and lovely daughter Reethika for their constant support and encouragement. — S.R.D. To Cory, Tyler, and Amanda; and Mona, Susu, Marlene, and Yasser, with deep gratitude for your friendship, love, and support. — S.A. 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This page intentionally left blank Contributors Suhny Abbara, MD Adam Bernheim, MD Chief, Cardiothoracic Imaging Division, Professor, Assistant Professor of Radiology, Icahn School of Department of Radiology, UT Southwestern Medical Medicine at Mount Sinai, New York, NY; Adjunct Center, Dallas, TX Assistant Professor of Radiology, Emory University Normal Anatomy of the Lungs School of Medicine, Atlanta, GA Mediastinum, Chest Wall, and Diaphragm Differential Diagnosis Based on Imaging Findings Imaging Anatomy of the Heart and Thoracic Great Vessels Introduction to Terminology Sanjeev Bhalla, MD Acquired Diseases of the Aorta Professor of Radiology, Mallinckrodt Institute of Cardiac and Vascular Tumors Radiology, St. Louis, MO Imaging of Thoracic Trauma Gerald F. Abbott, MD Associate Radiologist, Department of Imaging, Michael Bolen, MD Massachusetts General Hospital, Boston, MA Cardiothoracic Radiology, Cleveland Clinic, The Pleura Cleveland, OH Step-by-Step Analysis of Cardiac Chambers in CT Jeanne B. Ackman, AB, MD, FACR Cardiac Valves Assistant Professor, Harvard Medical School; Radiologist, Massachusetts General Hospital, Boston, Christopher G. Brown, MD MA Research Analyst, Department of Diagnostic Radiology, Problem Solving in the Mediastinum University of Maryland Medical Center, Baltimore, MD Cardiac CT for the Evaluation of Acute Coronary Saurabh Agarwal, MD Syndrome in the Emergency Department Assistant Professor, Department of Diagnostic Imaging, The Warren Alpert Medical School of Brown Julia Capobianco, MD University, Providence, RI Chest Radiologist, Fleury Group, São Paulo, Brazil Imaging of Thoracic Trauma Collagen Vascular Diseases and Vasculitis Mukta D. Agrawal, MD Brett W. Carter, MD Assistant Professor of Radiology, Oklahoma University Diagnostic Radiology, University of Texas MD Hospital Medical Sciences, Oklahoma City, OK Anderson Cancer Center, Houston, TX Introduction to Terminology Neoplasms of the Lung and Airways Tami J. Bang, MD Nihara Chakrala, MD Assistant Professor, Department of Radiology, Formerly of the Department of Radiology, Beth Israel University of Colorado School of Medicine, Deaconess Medical Center, Boston, MA Aurora, CO Trachea and Bronchi Acquired Diseases of the Aorta Jay Champlin, MD Dhiraj Baruah, MD Resident, Department of Radiology, University of Assistant Professor and Chief, Cardiothoracic Washington, Seattle, WA Radiology; Program Director, Scanlon Cardiothoracic Hypersensitivity Pneumonitis Fellowship; Co-Director, Cardiac MRI; Medical Director, Emergency Radiology, Medical College of Thanissara Chansakul, MD Wisconsin, Milwaukee, WI Neuroradiology Fellow, Radiology, Brigham and Radiographic Techniques Women’s Hospital/Harvard Medical School, Boston, MA Kiran Batra, MD Cystic Lung Disease Assistant Professor, Department of Radiology, UT Southwestern Medical Center, Dallas, TX Normal Anatomy of the Lungs vii viii Contributors Jonathan H. Chung, MD Florian J. Fintelmann, MD, Dr. med. Section Chief, Thoracic Radiology, Associate Professor, Assistant Professor of Radiology, Harvard Medical The University of Chicago Medicine, Chicago, IL School; Staff Radiologist, Department of Radiology, Interstitial Lung Disease Division of Thoracic Imaging and Intervention, Acquired Diseases of the Aorta Massachusetts General Hospital, Boston, MA Thoracic Interventions Pierluigi Ciet, MD, PhD Thoracic Radiologist and Postdoc at Radiology-Nuclear Stephen Fisher, MD Medicine and Pediatric Pulmonology Departments of Fellow, Department of Radiology, UT Southwestern the Erasmus Medical Center, Rotterdam, Netherlands Medical Center, Dallas, TX Trachea and Bronchi Normal Anatomy of the Lungs Mediastinum, Chest Wall, and Diaphragm Christian W. Cox, MD Department of Radiology, Mayo Clinic, Rochester, MN Christopher J. François, MD Occupational and Inhalational Lung Diseases Professor, Department of Radiology, University of Wisconsin–Madison, Madison, WI Pulmonary, Mediastinal, Vascular, and Chest Wall MRI Subba R. Digumarthy, MD Radiologist, Massachusetts General Hospital; Assistant Professor of Radiology, Harvard Medical School, Brian B. Ghoshhajra, MD, MBA Boston, MA Service Chief, Cardiovascular Imaging, Department of Differential Diagnosis Based on Imaging Findings Radiology, Massachusetts General Hospital, Harvard Infection Medical School, Boston, MA The Pleura Imaging of Cardiomyopathy and Myocarditis Sharmila Dorbala, MD, MPH, FACC, FASNC Matthew Gilman, MD Associate Professor, Radiology, Harvard Medical Division of Thoracic Imaging and Intervention, School; Director, Nuclear Cardiology, Division Massachusetts General Hospital, Boston, MA of Nuclear Medicine and Molecular Imaging, Congenital and Developmental Diseases of the Lungs Department of Radiology, Division of Cardiology, and Airways Department of Medicine, Brigham and Women’s Hospital, Boston, MA Lawrence R. Goodman, MD, FACR Problem-Oriented Radionuclide Myocardial Perfusion Professor, Department of Radiology, Medical College Imaging of Wisconsin, Milwaukee, WI Radiographic Techniques Rachel Edwards, MD Assistant Professor, Diagnostic Radiology, University of Cameron Hassani, MD Washington, Seattle, WA Assistant Professor, Department of Radiology, Keck Cardiovascular CT Hospital of the University of Southern California, Cardiac MRI Los Angeles, CA Diaphragm and Chest Wall Brett M. Elicker, MD Professor of Clinical Radiology, Department of Sandeep S. Hedgire, MD Radiology and Biomedical Imaging, University of Instructor of Radiology, Massachusetts General California, San Francisco, San Francisco, CA Hospital, Boston, MA Lung and Heart Transplantation Introduction to Terminology Ahmed H. El-Sherief, MD Benedikt H. Heidinger, MD Health Sciences Associate Clinical Professor, David Resident in Radiology, Department of Biomedical Geffen School of Medicine at UCLA; Division of Imaging and Image-guided Therapy, Vienna General Cardiothoracic Imaging, Veterans Administration Hospital, Medical University of Vienna, Vienna, Greater Los Angeles Healthcare System, Los Angeles, Austria CA Trachea and Bronchi Step-by-Step Analysis of Cardiac Chambers in CT Cardiac Valves Travis S. Henry, MD Associate Professor of Clinical Radiology, Department Tony Hany Fattouch, MD of Radiology and Biomedical Imaging, University of Assistant Professor, Department of Radiology, California San Francisco, San Francisco, CA University of Cincinnati, Cincinnati, OH Radiation, Medication, and Illicit Drug–Related Lung Congenital Heart and Vascular Disease Disease