美国放射学专业住院医师口试复习病例精选：胸部病例（11）
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Oral Recalls: Chest(11)
Wegener granulomatosis, thoracic. Large left upper lobe cavity with multiple cavitary and noncavitary nodules in the right lung.
http://emedicine.medscape.com/article/362474-media
http://www.ajronline.org/cgi/reprint/135/6/1269.pdf
Chest radiograph in a patient with classic right upper lobe cavitary lung disease secondary to Mycobacteriumkansasii infection
http://emedicine.medscape.com/article/223230-diagnosis
Non-small cell lung cancer. A cavitating right lower lobe squamous cell carcinoma.
http://emedicine.medscape.com/article/358433-imaging
A young adult with a history of intravenous drug use, endocarditis involving the tricuspid valve with Staphylococcus aureus, and multiple septic pulmonary emboli. Pulmonary lesions on chest radiograph are most prominent in the right upper lobe with both solid and cavitary appearance.
http://emedicine.medscape.com/article/782264-diagnosis
Deep sulcus sign in a supine patient in the ICU. The pneumothorax is subpulmonic.
http://emedicine.medscape.com/article/360796-imaging
Chest radiograph demonstrates an entire Swan catheter within the venous system with no residual catheter portion outside the patient.
http://emedicine.medscape.com/article/422189-overview
Digital chest image demonstrates that the tip of a Hickman catheter has migrated into the right jugular vein.
http://emedicine.medscape.com/article/422189-media
The above CXR show the atrial and ventricular pacemaker lead passing through a persistent left sided SVC.
http://askdrwiki.com/mediawiki/index.php?title=Persistent_Left_Superior_Vena_Cava
Central Line: Kink in a Central Line in the Right Subclavian.
http://eradiology.bidmc.harvard.edu/Classics/list.aspx?section=Support+Lines&pk=20cf7288-fcc0-4877-a321-5c00ba1cd4ad
Tip of endotracheal tube projects below the carina into the bronchus intermedius on the right.
http://www.learningradiology.com/archives04/COW%20129-Atelectasis-ETT/atelectasiscorrect.htm
Abnormal position of the NG tube situated in the right lower lobe bronchus. If NG feeds are commenced, this will result in lung injury.
http://www.bjmp.org/content/pictorial-essay-endotracheal-tube-and-nasogastric-tube-chest-radiographs
Intracranial nasogastric tube.
http://www.radswiki.net/main/index.php?title=Intracranial_nasogastric_tube
72-year-old woman with hyperlipidemia and hypertension presented with epigastric discomfort that radiated substernally and increased with exercise. Anteroposterior supine chest radiograph obtained 6 hr after admission shows intraaortic balloon pump with tip of balloon pump located laterally along wall of descending thoracic aorta. Contrast-enhanced CT scan of mid thorax 1 day after admission shows type B Stanford dissection and radiopaque intraaortic balloon pump tip within false lumen. Contrast-enhanced CT scan of upper abdomen 1 day after admission shows gas in catheter balloon (arrow) lateral to intimal calcification.
http://www.ajronline.org/cgi/content/full/184/4/1245
Pulmonic stenosis. Enlarged main and left pulmonary arteries. Normal to decreased peripheral pulmonary vasculature.
http://www.learningradiology.com/notes/cardiacnotes/pulmonicstenosispage.htm
Enlarged main and left pulmonary artery. Normal right pulmonary artery.
UAB Chest 76
Marfan syndrome and annuloaortic ectasia in a 40-year-old man. Contrast-enhanced CT scan (a) and three-dimensional VR image(b) show a pear-shaped aorta that tapers to a normal aortic arch, a finding characteristic of Marfan syndrome and annuloaortic ectasia.
http://radiographics.rsna.org/content/29/2/537.figures-only
http://emedicine.medscape.com/article/424904-overview
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