Articles

Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and edited by countless contributing members over a period of time. A global group of dedicated editors oversee accuracy, consulting with expert advisers, and constantly reviewing additions.

1,460 results found
Article

Large cell neuroendocrine carcinoma of the lung

Large cell neuroendocrine carcinoma (LCNEC) of the lung is classified as a subtype of large cell carcinoma of the lung. It is also classified as a pulmonary neuroendocrine tumour. Epidemiology The incidence peaks around the sixth decade 6. There is an increased male predilection 7. Pathology ...
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Large unilateral pleural effusion

When a pleural effusion is large and unilateral, concern for an underlying abnormality should be raised. Causes include: tumour bronchogenic carcinoma mesothelioma pleural metastases lymphoma pleural lymphoma primary effusion lymphoma infection parapneumonic effusion empyema extension...
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Leadless cardiac pacemaker

Leadless cardiac pacemakers are a recently introduced type of cardiac conduction device. These pacemakers are self-contained right ventricular single-chamber pacemakers that are implanted percutaneously via a femoral approach 1-3. Radiographic features A leadless cardiac pacemaker can be appre...
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Leaky lung syndrome

Leaky lung syndrome refers to a form of non-cardiogenic pulmonary oedema. Pathology Pulmonary oedema due to increased capillary permeability.   Radiographic features Leaky lung syndrome is considered a mild form of a part of the spectrum of acute lung injury with ARDS at the other end of the...
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Leflunomide induced acute interstitial pneumonia

Leflunomide induced acute interstitial pneumonia is a form of drug induced interstitial lung disease. The precipitation of radiological evidence of pulmonary infiltrates, clinical acute respiratory illness in the context of a good temporal relationship with commencement of the agent and no clear...
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Left atrial appendage closure devices

Left atrial appendage (LAA) closure devices are implantable cardiac devices which are placed in the left atrial appendage for stroke prevention in patients with atrial fibrillation who have contraindications to pharmacological anticoagulation. Depending on the device they may be inserted percuta...
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Left atrial enlargement

Left atrial enlargement may result from many conditions, either congenital or acquired. It has some characteristic findings on a frontal chest radiograph. CT or MRI may also be used for diagnosis. Clinical presentation An enlarged left atrium can have many clinical implications, such as: Ortn...
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Left atrium

The left atrium is one of the four chambers of the heart. It receives oxygenated blood from the pulmonary circulation that is then delivered to the left ventricle and then into the systemic circulation. Gross anatomy The left atrium is grossly cuboidal, and like the right atrium has an appenda...
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Left horizontal fissure

The left horizontal (or minor) fissure is an accessory fissure found in around 8% of individuals examined with CT 3. In a prospective study of 2,000 consecutive normal chest X-rays (AP and lateral), a definite left horizontal fissure was identified in 1.6% of the subjects 1. Gross anatomy The ...
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Left lower lobe

The left lower lobe (LLL) is one of two lobes in the left lung. It is separated from the left upper lobe by the left oblique fissure and subdivided into four bronchopulmonary segments. Gross anatomy Location and structure The LLL lies in the posterior and lower aspect of the left hemithorax a...
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Left lower lobe anteromedial segment

The left lower lobe anteromedial segment (or cardiac segment) is one of the bronchopulmonary segments of the left lower lobe. It is the most anteromedial of the segments within the base of the left upper lobe. It is the equivalent segment merger of the anterior and medial segments of the right ...
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Left lower lobe bronchus

The left main bronchus divides into the left lower lobe bronchus and the left upper lobe bronchus. It is one of the secondary lobar bronchi. Gross anatomy The left lower lobe bronchus is very short and divides immediately into the segmental bronchi.  There are usually 10 individual segmental b...
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Left lower lobe collapse

Left lower lobe collapse has distinctive features, and can be readily identified on frontal chest radiographs, provided attention is paid to the normal cardiomediastinal contours. However, the shadow cast by the heart does make it more difficult to see than the right lower lobe collapse. For a ...
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Left lower lobe lateral segment

The left lower lobe lateral or lateral basal segment is one of the four bronchopulmonary segments of the left lower lobe. It is the most inferolateral of the segments in the left lower lobe, below the superior segment.
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Left lower lobe posterior segment

The left lower lobe posterior or posterior basal segment is one of the four bronchopulmonary segments of the left lower lobe. It is the most inferoposterior of the segments in the left lower lobe, below the superior segment. Related pathology Due to its low and posterior position, pathology in...
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Left lower lobe superior segment

The left lower lobe superior or apical segment is one of the four bronchopulmonary segments of the left lower lobe. It is the most apical of the segments in the left lower lobe, posterior to the upper aspect of the oblique fissure and apicoposterior segment of the left upper lobe. Related patho...
Article

Left lung

The left lung is one of two lungs, located in the left hemithorax on the left of the heart and mediastinum.  There are a few differences between the two lungs: The left lung is smaller in volume than the right lung, with a smaller transverse dimension (due to the heart on the left) but a large...
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Left main bronchus

The trachea bifurcates into the right and left main bronchi at the level of the carina, supplying air to the right and left lungs respectively. Each main or primary bronchus enters the hilum of its lung and gives rise to secondary lobar bronchi, which further divide into tertiary segmental bronc...
Article

Left paramediastinal catheter position (differential)

When a central venous catheter that is supposed to project over the superior vena cava is abnormally located to the left of the mediastinum a limited differential of left paramediastinal catheter position should be considered 1: located within a vein left sided superior vena cava left interna...
Article

Left paraspinal line

The left paraspinal (also known as the paraspinous or paravertebral) line (or stripe) is a feature of frontal chest x-rays. It is formed by the interface between the left lung and the left posterior mediastinal soft tissues 1. It is more commonly seen than the right paraspinal line. Lateral dis...
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Left paratracheal stripe

The left paratracheal stripe is formed by the interface of the medial pleural surface of the left upper lobe and left lateral border of the trachea and/or the fat adjacent 1 with air within each structure forming the outline. It may not be visible if the left upper lobe contacts the left subclav...
Article

Left pulmonary artery

The left pulmonary artery (LPA) is one of the branches of the pulmonary trunk, branching at the level of the transthoracic plane of Ludwig. It is shorter than the right pulmonary artery and represents a direct posterior continuation of the pulmonary trunk. It arches posterosuperiorly over the su...
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Left superior intercostal vein

The left superior intercostal vein drains the left posterosuperior hemithorax and is considered to be part of the azygos venous system even though it does not directly drain into the azygos vein.  Gross anatomy Origin and course The left superior intercostal vein forms by the union of the 2nd...
Article

Left upper lobe

The left upper lobe (LUL) is one of two lobes in the left lung. It is separated from the left lower lobe by the left oblique fissure and subdivided into four bronchopulmonary segments, two of which represent the lingula. Gross anatomy Location and structure The left upper lobe lies in the upp...
Article

Left upper lobe anterior segment

The left upper lobe anterior segment is one of the four bronchopulmonary segments of the left upper lobe. It is the most anterior of the segments in the left upper lobe lying below and anterior to the apicoposterior segment and above the oblique fissure.
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Left upper lobe apicoposterior segment

The left upper lobe apicoposterior segment is one of the bronchopulmonary segments of the left upper lobe. As its name suggests, it is the most apical and posterior of the segments within the left upper lobe and is supplied by the left apicoposterior segmental bronchus. It is the equivalent seg...
Article

Left upper lobe bronchus

The left main bronchus divides into the left upper lobe bronchus and the left lower lobe bronchus. It is one of the secondary lobar bronchi. Gross Anatomy The left upper lobe bronchus is very short and divides immediately into the segmental bronchi.  There are usually 10 individual segmental b...
Article

Left upper lobe collapse

Left upper lobe collapse has distinctive features but can be challenging to identify on chest radiographs by the uninitiated. For a general discussion refer to the article on lobar collapse. Radiographic features Plain radiograph The left upper lobe collapses anteriorly becoming a thin sheet...
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Left upper lobe collapse in the exam

Getting a film with left upper lobe collapse in the exam is one of the many exam set-pieces that can be prepared for. Description This frontal chest radiograph shows a hazy (or veil-like*) opacification of the left hemithorax that is associated with superior displacement left hilum and horizon...
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Left upper lobe inferior lingular segment

The left upper lobe inferior lingular segment is one of the four bronchopulmonary segments of the left upper lobe. It lies below the superior lingular segment of the left upper lobe.
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Left upper lobe superior lingular segment

The left upper lobe superior lingular segment is one of the four bronchopulmonary segments of the left upper lobe. It lies below the apicoposterior and anterior segments of the left upper lobe.
Article

Left ventricle

The left ventricle is one of four heart chambers. It receives oxygenated blood from the left atrium and pumps it into the systemic circulation via the aorta. Gross anatomy The left ventricle is conical in shape with an anteroinferiorly projecting apex and is longer with thicker walls than the ...
Article

Legionella pneumonia

Legionella pneumonia, also known as Legionnaires' disease, refers to pulmonary infection primarily with the organism Legionella pneumophila. It is sometimes classified as atypical pneumonia.  Epidemiology Legionella pneumonia tends to be more prevalent among immunocompromised patients. Legione...
Article

Leptospirosis

Leptospirosis results from infection of the zoonoses Leptospira sp. The condition can have multi-organ manifestations. Commonly affected organs include: lung: pulmonary leptospirosis liver: hepatic leptospirosis central nervous system: CNS leptospirosis skeletal muscle: muscular leptospirosi...
Article

Lesser diaphragmatic apertures

The lesser diaphragmatic apertures allow the passage of smaller structures from the thoracic cavity to abdominal cavity across the diaphragm. They are very much smaller than the other diaphragmatic apertures: two in the right crus of the diaphragm: transmit greater and lesser right splanchnic n...
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Ligamentum arteriosum

The ligamentum arteriosum (or arteriosus) is the small fibrous remnant of the fetal ductus arteriosum, located between and connecting the proximal left pulmonary artery and the undersurface of the junction of the aortic arch and descending aorta, at the aortic isthmus. The left recurrent larynge...
Article

Light chain deposition disease

Light chain deposition disease (LCDD) is a rare disease.  It can affect multiple organ systems.  renal manifestations of light chain deposition disease - renal involvement is a constant feature, resulting in proteinuria with or without nephrotic syndrome and renal failure.  hepatic manifestat...
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Light chain deposition disease (pulmonary manifestations)

Pulmonary manifestations of light chain deposition disease are rare when considering the full disease spectrum of light chain deposition disease. Pathology The light chains are secreted by a plasma clone and deposit in the alveolar walls, small airways, and vessels.  Radiographic features CT...
Article

Lines and tubes (chest radiograph)

Lines and tubes are important components in chest radiographic evaluation. Nasogastric (NG) tube See: nasogastric tube positioning.  Correct position NG tube tip ≥10 cm distal to the gastro-oesophageal junction i.e. below the left hemidiaphragm Complications insertion into trachea or bron...
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Lingula (disambiguation)

Lingula (plural lingulae) can refer to a number of different anatomical structures: lingula (mandible) lingula (lung) lingula (cerebellum) lingula (sphenoid bone) History and etymology Lingula is the diminutive form of lingua, Latin for the tongue. Thus lingula is used for a small tongue-l...
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Lingula (lung)

The lingula is a combined term for the two lingular bronchopulmonary segments of the left upper lobe: superior lingular segment inferior lingular segment The two lingular segments are the most anterior of the segments in the left upper lobe lying below the apicoposterior and anterior segments...
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Lipoblastoma of lung

Lipoblastoma of the lung is a fat derived thoracic tumour. Epidemiology They occur during infancy and early childhood. More than 90% of cases are diagnosed in children less than 3 years of age, with nearly 75% occurring before the age of 12 months Pathology Lipoblastomas are rare soft-tissue...
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Lipoid pneumonia

Lipoid pneumonia can either result from aspiration of oily substances (exogenous lipoid pneumonia) or endogenous accumulation of lipid substances in the alveoli (endogenous lipoid pneumonia). Clinical presentation Most patients are asymptomatic and often discovered incidentally. Diagnosis Se...
Article

Lipomatosis

Lipomatosis is a condition where there is diffuse excessive fat deposition within the body. This can especially affect certain regions. neck and upper region of trunk Madelung disease mediastinal lipomatosis heart lipomatous hypertrophy of the interatrial septum lipomatous metaplasia of th...
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Liquefactive necrosis

Liquefactive necrosis is a form of necrosis where there is transformation of the tissue into a liquid viscous mass. Pathology In liquefactive necrosis, the affected cell is completely digested by hydrolytic enzymes leading to a soft, circumscribed lesion which can consist of fluid with remains...
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Lobar collapse (summary)

This is a basic article for medical students and other non-radiologists Lobar collapse is relatively common and occurs following obstruction of a bronchus. Gas is resorbed from the lung parenchyma distal to the obstruction resulting in the collapse of the lung, with volume reduction and negativ...
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Lobar lung collapse

Lobar collapse refers to the collapse of an entire lobe of the lung. As such it is a subtype of atelectasis (although collapse is not entirely synonymous is atelectasis), which is a more generic term for 'incomplete expansion'. Individual lobes of the lung may collapse due to obstruction of the ...
Article

Lobar pneumonia

Lobar pneumonia (also known as non-segmental pneumonia or focal non-segmental pneumonia 7) is a radiological pattern associated with homogenous, fibrinosuppurative consolidation of one or more lobes of a lung in response to bacterial pneumonia.  The radiological appearance of lobar pneumonia is...
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Localised mediastinal malignant mesothelioma

A localised (solitary) mediastinal malignant mesothelioma is a rare variant of malignant pleural mesothelioma and is thought to arise from mesothelial cells of the pericardium. There are too few report cases to be dogmatic in regards to epidemiological or radiographic features. Differential d...
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Localised pulmonary emphysema

Localised pulmonary emphysema is not a commonly used term but generally given the to describe pulmonary emphysema confined to a particular location with the lung (may involve a lobe,segment or subsegment). It has also been used to describe focal areas of enlargement or destruction of air spaces ...
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Localised pulmonary haemorrhage

Localised pulmonary haemorrhage is a descriptive term for a pulmonary haemorrhage restricted to a particular focal region of the lung. It can range from involving a small focus of haemorrhage to a whole lobe. Pathology Aetiology Focal pulmonary haemorrhage can occur from a number of causes: ...
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Loculated pneumothorax

A loculated pneumothorax is a form of pneumothorax where a pocket of pleural air is trapped within a localised area. They may occur in a number of situations including in patients with acute respiratory disease treated with mechanical ventilation 1 and status post pleural aspiration in the conte...
Article

Löffler syndrome

Simple pulmonary eosinophilia (also known as Löffler syndrome) is a type of pulmonary eosinophilia that typically presents with transient radiographic infiltrates, minimal constitutional upset, and an elevated eosinophil count in peripheral blood. Pathology Aetiology The cause is not usually ...
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Löfgren syndrome

Löfgren syndrome is a specific acute clinical presentation of systemic sarcoidosis that usually manifests with lymphadenopathy, fevers, erythema nodosum, and arthritis.  Terminology It is important to not confuse this syndrome with Löffler syndrome, as the names are quite similar but the condi...
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Low attenuation lymphadenopathy

Low attenuation lymphadenopathy suggests underlying necrosis and can be seen in: metastatic carcinoma (or lymphoma) infections (tuberculous or fungal) Whipple disease coeliac sprue inflammatory necrotic disorders (e.g. Kikuchi-Fujimoto disease) See also lymphadenopathy low attenuation ly...
Article

Lower lobe bronchiectasis

The distribution of bronchiectasis can help in narrowing the differential diagnosis. Lower lobe bronchiectasis is the commonest zonal predilection in bronchiectasis 2. It is mostly idiopathic but can be typically seen in post infective bronchiectasis recurrent childhood infections aspiration ...
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Lower respiratory tract infection

A lower respiratory tract infection (LRTI) is a very broad term which can mean inflammation of the respiratory tract below the level of the larynx. This term may include a pneumonia (which is often given to described more organised consolidation within the lungs). There is also overlap with the ...
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Lower zone

The lower zone is one of the four chest radiograph zones.  Radiographic features Plain radiograph on frontal chest radiographs, extends inferiorly from the inferior aspect of the hilum to the hemidiaphragm
Article

Luftsichel sign (lungs)

The luftsichel sign is seen in some cases of left upper lobe collapse and refers to the frontal chest radiographic appearance due to hyperinflation of the superior segment of the left lower lobe interposing itself between the mediastinum and the collapsed left upper lobe.   Radiographic feature...
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Lumbar rib

Lumbar (or 13th) ribs are a rare anatomical variant and represent transitional vertebrae at the thoracolumbar junction with a prevalence of ~1% 1. It presents as an additional rib coming off T13 or L1 (depending on numbering classification) and may be unilateral or bilateral. Lumbar ribs are mos...
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Lung

The lungs are the functional units of respiration and are key to survival. They contain 1500 miles of airways, 300-500 million alveoli and have a combined surface area of 70 square meters (half a tennis court). Each lung weighs approximately 1.1 Kg.  They are affected by a wide range of patholog...
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Lung abscess

Lung abscesses are circumscribed collections of pus within the lungs. They are often complicated to manage and difficult to treat and, in some cases, may be life-threatening. Epidemiology As a result of the widespread availability of antibiotics, the incidence of lung abscesses has dramaticall...
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Lung architectural distortion

Lung architectural distortion in thoracic radiology refers to a descriptive term give when the normal pulmonary bronchial, vascular, fissural or septal anatomy is disrupted and manifested as loss of smooth course of the fissures, crowding of dilated bronchioles or vessels with angulated course 1...
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Lung atelectasis

Lung atelectasis refers to collapse or incomplete expansion of pulmonary parenchyma. Note that the term "atelectasis" is typically used when there is partial collapse, whereas the term "collapsed lung" is typically reserved for when the entire lung is totally collapsed. Classification Atelecta...
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Lung cancer

Lung cancer, or frequently, if somewhat incorrectly, known as bronchogenic carcinoma, is a broad term referring to the main histological subtypes of primary lung malignancies that are mainly linked with inhaled carcinogens, smoking cigarettes in particular.  This article will broadly discuss al...
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Lung cancer associated with cystic airspaces

Lung cancer associated with cystic airspaces, rather than a distinct disease, represents a spectrum of radiological patterns of tumour growth mainly characterised by lesions arising or abutting the walls of cystic airspaces. Attention to this pattern has been brought in the recent decades primar...
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Lung cancer screening

Lung cancer screening with low-dose CT (LDCT) is an imaging strategy that is beginning to be adopted for high-risk patients in some health systems. Lung cancer is the most common cause of cancer death worldwide, and there is accumulating higher level evidence that a mortality benefit exists with...
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Lung cancer (staging - IASLC 7th edition - superseded)

The IASLC (International Association for the Study of Lung Cancer) 7th edition lung cancer staging system was proposed in 2010 and has now been updated and superseded by the 8th edition, published in 2016. Small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC) used to be staged di...
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Lung cancer (staging - IASLC 8th edition)

The IASLC (International Association for the Study of Lung Cancer) 8th edition lung cancer staging system was introduced in 2016 and supersedes the IASLC 7th edition.  TNM system T: primary tumour Tx: primary tumour cannot be assessed or tumour proven by the presence of malignant cells in spu...
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Lung cancer (summary)

This is a basic article for medical students and non-radiologists Lung cancer is the most common cancer worldwide and refers to malignancy originating in the airways or pulmonary parenchyma. Clinical presentation Patients may be asymptomatic until locally advanced or metastatic disease. The m...
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Lung carcinomas of the salivary gland type

Lung carcinomas of the salivary gland type are also known as salivary gland–type tumours of the lung (SGTTLs) or bronchial gland neoplasms.  The usual consignation to the group of non-small cell lung cancer (NSCLC) may be unfortunate because the clinical behavior of SGTTLs can be quite differen...
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Lung consolidation (mnemonic)

A commonly used mnemonic for recalling the features of consolidation is: A2BC3 Mnemonic A2BC3 A: acinar rosettes A: air bronchogram/alveologram B: bat-wing distribution C: coalescent/confluent ill-defined "fluffy" appearance C: consolidation: diffuse, perihilar/bibasilar, lobar/segmental...
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Lung decortication

A lung decortication is a cardiothoracic surgical procedure usually performed for situations such as a chronic thoracic empyema or a chronic haemothorax where a diseased, often chronically infected, pleura is debrided from the adjacent lung and removed. It is also sometimes performed of selected...
Article

Lung entrapment

Lung entrapment is a term given to non-expandable lung due to active pleural inflammation, malignancy, or haemothorax. The term is similar but not entirely synonymous with trapped lung, which is due to pleural inflammation from remote disease resulting in fibrous thickening of the pleura. Radi...
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Lung fissures

Lung fissures are a double-fold of visceral pleura that either completely or incompletely invaginates lung parenchyma to form the lung lobes.  Each lung has an oblique fissure separating the upper lobes from the lower lobes and the right lung has a horizontal fissure that separates the right up...
Article

Lung hyperinflation

Lung hyperinflation is a common feature of patients with chronic obstructive pulmonary disease (COPD). It is also linked to ageing and other chronic diseases that cause airflow obstruction. Pathology The airflow limitation during expiration is produced by two factors: destruction of the lung ...
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Lung parenchyma

Lung parenchyma is the portion of the lung involved in gas transfer - the alveoli, alveolar ducts and respiratory bronchioles. However, some authors include other structures and tissues within the definition. Related pathology parenchymal lung disease See also parenchyma
Article

Lung-RADS

Lung-RADSTM (or lung imaging reporting and data system) is a classification proposed to aid with findings in low-dose CT screening exams for lung cancer. The goal of the classification system is to standardize follow-up and management decisions. The system is similar to the Fleischner criteria b...
Article

Lung torsion

Lung torsion is a very rare situation typically described as an adverse event after a pneumonectomy. In extremely rare situations it can also occur after less invasive procedures such as video-assisted thoracic surgery (VATS) 11 or even spontaneously in the native lung. Epidemiology  It has a ...
Article

Lung transplant complications

Lung transplant complications can occur at variable time intervals following transplantation.  It is essential for radiologists to be aware of specific complications as chest imaging is routinely used in the post-transplant assessment. When reporting a postoperative chest radiograph or CT, it i...
Article

Lung volume reduction surgery

Lung volume reduction surgery (LVRS) is an emerging promising palliative treatment option for select patients with severe, debilitating pulmonary emphysema. It usually involves bilateral wedge resection of 20-30% of the most diseased lung through a median sternotomy.  It has been proposed that L...
Article

Lymphangioleiomyomatosis

Lymphangioleiomyomatosis (LAM) is a rare multi-system disorder that can occur either sporadically or in association with the tuberous sclerosis complex (TSC) and is often considered a forme fruste of TSC. It can affect several regions in the body  thorax: thoracic manifestations of lymphangiol...
Article

Lymphangitic carcinomatosis

Lymphangitic carcinomatosis, or lymphangitis carcinomatosa, is the term given to tumour spread through the lymphatics of the lung and is most commonly seen secondary to adenocarcinoma. Epidemiology The demographics will reflect that of the underlying malignancy (see below). Clinical presentat...
Article

Lymphangitic carcinomatosis (mnemonic)

A mnemonic for the causes of lymphangitic carcinomatosis is: Certain Cancers Spread By Plugging The Lymphatics Mnemonic C: cervix C: colon S: stomach B: breast P: pancreas T: thyroid L: larynx and lung
Article

Lymphocele of the thoracic duct

Introduction Lymphocele of the thoracic duct (thoracic duct cyst) is usually asymptomatic or less commonly may present as  left supraclavicular fossa mass 1. The clinical significance of a thoracic duct cyst lies in its misidentification as a pathological lesion at radiological assessment, whi...
Article

Lymphocytic interstitial pneumonitis

Lymphocytic interstitial pneumonitis (LIP) is a benign lymphoproliferative disorder characterised by lymphocyte predominant infiltration of the lungs. It is classified as a subtype of interstitial lung disease. It also falls under the umbrella of non-lymphomatous pulmonary lymphoid disorders. E...
Article

Lymphomatoid granulomatosis

Lymphomatoid granulomatosis (LG), also known as angiocentric lymphoma or angiocentric immunoproliferative lesion, is a rare type of non-Hodgkin's lymphoma. Pathology There is a recognised association with antecedent infection with the Epstein Barr virus (EBV).   It can affect a variety of org...
Article

Lymphomatoid granulomatosis (pulmonary manifestations)

Pulmonary manifestations of lymphomatoid granulomatosis are important since the lung is one of the most frequent sites of involvement in lymphomatoid granulomatosis. It falls under the group of pulmonary angiitis and granulomatosis. Pathology Some consider the condition to be midway between ov...
Article

Macklin effect (pulmonary interstitial emphysema and pneumomediastinum)

The Macklin effect describes one of the pathophysiological processes of pneumomediastinum in blunt chest trauma. The Macklin effect accounts for ~40% of severe blunt traumatic pneumomediastinum. Exclusion of tracheobronchial and oesophageal causes of pneumomediastinum is mandatory to exclude con...
Article

Macrocystic honeycombing

Macrocystic honeycombing refers to a morphological subtype of honeycombing. Many publications consider the individual lung cysts to be greater than 4 mm in diameter to be classified into this category.  This form is considered to be more commonly associated with UIP 3. See also honeycombing m...
Article

Major aortopulmonary collateral arteries

Major aortopulmonary collateral arteries (MAPCAs) are persistent tortuous fetal arteries that arise from the descending aorta and supply blood to pulmonary arteries in the lungs usually at the posterior aspect of hilum. Pathology Embryologically, the intersegmental arteries regress with the no...
Article

Malignant pleural disease

Malignant pleural disease usually heralds a poor prognosis, whether it represents a primary pleural malignancy or metastatic involvement.  Clinical presentation Clinical presentation is variable. Patients may be asymptomatic or have pleuritic pain. If associated with a sizeable pleural effusio...
Article

Malignant pleural mesothelioma (staging)

A number of staging systems have been described for staging of malignant pleural mesothelioma. Below is the International Mesothelioma Interest Group TNM staging system. TNM T - Tumour Tx: primary tumour cannot be assessed T0: no evidence of primary tumour T1a potentially resectable only ...

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