Articles

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1,983 results found
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Mastectomy

Mastectomy is a surgical treatment for breast cancer in which the entire breast tissue is removed through a surgical procedure as opposed to a wide local excision. Sometimes, adjacent structures, such as lymph nodes, are removed to prevent recurrence or metastasis. In some cases, mastectomy is d...
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Miliary tuberculosis

Miliary tuberculosis is an uncommon pulmonary manifestation of tuberculosis. Pathology Miliary tuberculosis represents hematogenous dissemination of uncontrolled tuberculous infection and carries a relatively poor prognosis. It is seen in primary and post-primary tuberculosis and may be associ...
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Tuberculosis

Tuberculosis (commonly abbreviated to TB, short for tubercle bacillus) encompasses an enormously wide disease spectrum affecting multiple organs and body systems predominantly caused by Mycobacterium tuberculosis. A small proportion can also be caused by Mycobacterium bovis through drinking unpa...
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Pembrolizumab-induced sarcoid-like reaction

Pembrolizumab-induced sarcoid-like reaction (c.2019) is a phenomenon which has been associated with the use of the programmed cell death protein 1 (PD1) inhibitor pembrolizumab. It could be mistaken for metastatic disease in some situations. See also  drug induced lung disease immune checkpoi...
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Pneumatocele

Pneumatoceles are intrapulmonary gas-filled cystic spaces that can have a variety of sizes and appearances. They usually occur as a result of pneumonia or in neonates as the result of a ventilator-induced lung injury. They should not be mistaken for a cavitating lung mass.  Epidemiology Althou...
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Chronic thromboembolic pulmonary hypertension

Chronic thromboembolic pulmonary hypertension (CTEPH) is a distinct subgroup of pulmonary hypertension that most frequently develops following massive or repeated pulmonary embolism. Terminology The term CTEPH should be used for patients with chronic thromboembolic disease and pulmonary hypert...
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Traumatic pneumatocoele

A traumatic pneumatocoele is caused by a compression-decompression force which causes a burst injury. Elastic recoil creates a cavity which may contain gas and blood. Terminology Traumatic pneumatocele is synonymous with pulmonary laceration. Epidemiology They tend to occur in children and ...
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Solitary fibrous tumor of the thorax

Solitary fibrous tumors of the thorax are rare pleural-based tumors that account for <5% of all primary pleural tumors 16. While their behavior is variable, they are typically indolent, benign-behaving tumors. Locally aggressive features with malignant transformation, into undifferentiated sarco...
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Paraesophageal hernia

Paraesophageal hernias (POH), or rolling hiatus hernias, are an uncommon type of hiatus hernia representing ~10% of all hiatus hernias.  Clinical presentation Can vary and can include: asymptomatic gastro-esophageal reflux disease  substernal, post-prandial chest pain epigastric pain dysp...
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Kartagener syndrome

Kartagener syndrome (also known as Kartagener-Afzelius syndrome) is a subset of primary ciliary dyskinesia, an autosomal recessive condition characterized by abnormal ciliary structure or function, leading to impaired mucociliary clearance.  Epidemiology The prevalence of primary ciliary dyski...
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Unilateral hypertransradiant hemithorax

Unilateral hypertransradiancy is the correct term for the chest radiograph appearance of decreased attenuation affecting one lung. Hyperlucency is a commonly used alternative but is inaccurate; the chest is not penetrated by light! An outside-in approach is helpful to identify the cause: techn...
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Whole-body CT (protocol)

CT polytrauma/multitrauma, also called trauma CT, whole body CT (WBCT) or panscan, is an increasingly used investigation in patients with multiple injuries sustained after significant trauma. The majority of the evidence regarding whole-body CT is, understandably, retrospective. There is some e...
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Empyema necessitans

Empyema necessitans (also sometimes spelled as empyema necessitatis) refers to the extension of an empyema out of the pleural space and into the neighboring chest wall and surrounding soft tissues. Pathology It may either occur due to the virulence of the organism or may be facilitated by prev...
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Fetal lung interstitial tumor

Fetal lung interstitial tumor (FLIT) is a proposed designation for a rare primary lung mass detected prenatally or when the patient is up to 3 months old. Epidemiology Fetal lung interstitial tumors have a slight predominance in boys 1. Clinical presentation It can present with varying degre...
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Mesothelioma

Mesothelioma, also known as malignant mesothelioma, is an aggressive malignant tumor of the mesothelium. Most tumors arise from the pleura, and so this article will focus on pleural mesothelioma. Given the presence of the mesothelium in different parts of the body, mesothelioma can arise in var...
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Pulmonary laceration

Pulmonary lacerations result from frank laceration of lung parenchyma secondary to trauma. There is almost always concurrent contusion. Epidemiology Contusions and lacerations follow blunt or penetrating chest trauma, and are almost always seen with other chest (and abdominal) injuries. While ...
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Bochdalek hernia

Bochdalek hernias , also known as pleuroperitoneal hernias, (alternative plural: herniae) are the commonest type of congenital diaphragmatic hernia. They occur posteriorly and are due to a defect in the posterior attachment of the diaphragm when there is a failure of pleuroperitoneal membrane cl...
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Three attenuation pattern

The three attenuation pattern or three density pattern was formerly known as the head cheese sign and refers to the presence of well-defined areas of decreased, normal, and increased attenuation on inspiratory CT 6. Pathology The resultant mosaic is due to lobular air-trapping with reflex hypo...
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Tularemia

Tularemia is a rare and highly virulent febrile zoonotic bacterial infection caused by Francisella tularensis, which has been developed as a bioweapon by several countries. It can infect the skin and mucous membranes, lungs and intestine and cause systemic disease and death. Tularemia is a notif...
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Thymic epithelial tumors

Thymic epithelial tumors are rare tumors arising from thymus in anterior mediastinum of middle age patients, these tumors encompass thymomas, invasive thymomas and thymic carcinoma. Despite their relative rarity, they are the most common primary neoplasm of the thymus and anterosuperior mediasti...

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