Radiology Illustrated: Chest Radiology PDF
Preview Radiology Illustrated: Chest Radiology
Kyung Soo Lee Joungho Han Man Pyo Chung Yeon Joo Jeong Radiology Illustrated Chest Radiology 123 Radiology Illustrated: Chest Radiology Kyung Soo Lee (cid:129) Joungho H an (cid:129) M an Pyo Chung Yeon Joo Jeong Radiology Illustrated: Chest Radiology Kyung Soo Lee Man Pyo Chung Department of Radiology Department of Medicine Samsung Medical Center Division of Pulmonary and Critical Care Sungkyunkwan University School of Medicine Samsung Medical Center Seoul Sungkyunkwan University School of Medicine Korea, Republic of (South Korea) Seoul Korea, Republic of (South Korea) Joungho Han Department of Pathology Yeon Joo Jeong Samsung Medical Center Department of Radiology Sungkyunkwan University School of Medicine Pusan National University Hospital Seoul Busan Korea, Republic of (South Korea) Korea, Republic of (South Korea) ISSN 2196-114X eISSN 2196-1158 ISBN 978-3-642-37095-3 ISBN 978-3-642-37096-0 (eBook) DOI 10.1007/978-3-642-37096-0 Springer Heidelberg New York Dordrecht London Library of Congress Control Number: 2013955297 © Springer-Verlag Berlin Heidelberg 2014 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher's location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) To our spouses and children: Kyung Sook Yi and Joo Hwang and Joo Young Young Hee Chon and Seung Hwan and Jae Won Seoun Min Ahn and Seung Hwan and You Seoun Youseock Jeong and Yean and Jian Pref ace Multidetector CT images of the state-of-the-art quality are increasingly produced in tho- racic imaging, and in the near future, the CT imaging is expected to substitute chest radi- ography especially in outpatient clinic and may be ordered as a routine admission battery examination. In MEDLINE or other search engines, writing down several keywords regarding lung dis- eases with correct MeSH (Medical Subject Headings) words would promptly bring you sev- eral diseases among which you may choose correct diagnosis of pulmonary diseases in consideration of most compatible patient symptoms and signs. Likewise, we authors would like to publish a book that will guide readers to correct diagnosis, when they use correct MeSH words or keywords for describing lung lesion patterns identifi ed on chest CT images. When readers encounter similar patterns or distribution of lung abnormalities at CT, they may need to enumerate many diseases as potential differential diagnoses. This book provides the imag- ing algorithms based on patterns and distributions of lung lesions and the most relevant dif- ferential diagnoses. Because all diseases could not be enlisted as potential diagnostic possibilities, we tried to enumerate as many as common diseases that appear with similar pat- terns and distribution. Thus, familiarity with correct glossary of terms of lung lesion descrip- tion is basic prerequisite for effective and helpful reading of this book and for making a correct diagnosis seen on chest CT scans. After enlisting the diseases showing such pattern and distribution, the text provides the key points for differential diagnosis based on clinical and imaging features and tables that outline the classic manifestations of the various diseases. For each disease, succinct description of histopathology, clinical symptoms and signs, CT–pathology correlation, and patient prognosis has been given. Thus, this book is expected to be a shepherd for imaging diagnosis of lung diseases to radiology residents, fellows for thoracic imaging, chest physicians, and general practitioners. Moreover, as many cases are illustrated with their corresponding pathology, lung pathologists may also like to read this book. Like a cherishing substance, by keeping this handy book nearby and by comparing CT images of your patients with illustrated cases shown on this book, you may narrow differential diagnoses of your cases seen in patients of your references. In mobile web and smartphone era, such automatic diagnosis App devices are expected to be developed such that taking a photograph of representative CT image of your patient CT might bring you an easy and automatic diagnosis of the lung disease of your patient. This approach may be feasible by pattern approach using cumulative image database. We wish that this book would be a cornerstone for such App (application) in the near future. Last but not least, we should thank Young Joo Moon for her enthusiastic editorial help and Springer people, Dr. Ute Heilmann and Ms. Lauren Kim, for encouraging us to write this pre- cious book. Gangnam-gu, Seoul and Seo-gu, Pusan in Korea, August 2013 Kyung Soo Lee Joungho Han Man Pyo Chung Yeon Joo Jeong vii Contents Part I Focal Lung Diseases 1 Nodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Solitary Pulmonary Nodule (SPN), Solid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Lung Cancer (Solid Adenocarcinoma) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Carcinoid or Atypical Carcinoid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 BALT Lymphoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Tuberculoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Hamartoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Sclerosing Hemangioma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Infl ammatory Myofi broblastic Tumor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 ANCA-Associated Granulomatous Vasculitis (Former Wegener’s Granulomatosis) Manifesting as a Solitary Pulmonary Nodule . . . . . . . . . . . . . . . . 14 Ground-Glass Opacity Nodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Atypical Adenomatous Hyperplasia (AAH) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Adenocarcinoma in Situ (AIS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Minimally Invasive Adenocarcinoma (MIA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Loeffl er’s Syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 2 Mass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Defi nition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Diseases Causing the Pattern . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Distribution . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Clinical Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Pulmonary Sarcoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Progressive Massive Fibrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Pulmonary Actinomycosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 3 Consolidation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Lobar Consolidation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Lobar Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Invasive Mucinous Adenocarcinoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 Bronchus-Associated Lymphoid Tissue (BALT) Lymphoma . . . . . . . . . . . . . . . . . . 38 Pulmonary Infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Patchy and Nodular Consolidation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Airway-Invasive Pulmonary Aspergillosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Pulmonary Cryptococcosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 IgG4-Related Lung Disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Lymphomatoid Granulomatosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 ix
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