Articles

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More than 200 results
Article

Focal interstitial pulmonary fibrosis

Focal interstitial pulmonary fibrosis refers to a manifestation of pulmonary fibrosis where changes are confined and localised to a small region of the lung, they can arise from a range of aetiologies with one rather common example being osteophyte induced adjacent pulmonary atelectasis and fibr...
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Right lower lobe collapse

Right lower lobe (RLL) collapse forms a triangular opacity extending from the hilum to the diaphragm. There is less overlap with the heart shadow compared to left lower lobe collapse.  Findings of lower lobe collapse can be grouped together as they are almost identical on both sides. For a gen...
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Aortic arch

The aortic arch represents the direct continuation of the ascending aorta and represents a key area for a review of normal variant anatomy and a wide range of pathological processes that range from congenital anomalies to traumatic injury. Summary origin: continuation of the ascending aorta at...
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Stanford classification of aortic dissection

The Stanford classification, along with the DeBakey classification, is used to separate aortic dissections into those that need surgical repair, and those that usually require only medical management 7. Both the Stanford and DeBakey systems can be used to describe all forms of an acute aortic s...
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Congenital diaphragmatic hernia

Congenital diaphragmatic herniation (CDH) accounts for a small proportion of all diaphragmatic herniae. However, it is one of the most common non-cardiac fetal intrathoracic anomalies. Epidemiology Congenital diaphragmatic hernias are seen in 1 of every 2000-4000 live births. 84% are left-side...
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Tension pneumothorax

Tension pneumothoraces occur when progressive accumulation of intrapleural gas causes haemodynamic compromise 10. Urgent placement of a pleural drain can be life-saving and avert cardiorespiratory arrest. For a general discussion, refer to the pneumothorax article. Terminology A simple pneumo...
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Lemierre syndrome

Lemierre syndrome, also known as postanginal septicaemia, refers to thrombophlebitis of the internal jugular vein(s) with distant metastatic anaerobic septicaemia in the setting of initial bacterial oropharyngeal infection such as pharyngitis/tonsillitis into lateral pharyngeal spaces of the nec...
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Miliary lung nodules (mnemonic)

The list of differential diagnoses for miliary lung nodules can be recalled with the mnemonic: TEMPEST Mnemonic TEMPEST T: tuberculosis E: eosinophilic granuloma M: metastases (especially thyroid) P: pneumoconiosis E: extrinsic allergic alveolitis (now known as hypersensitivity pneumonit...
Article

Cervical rib

Cervical ribs are supernumerary or accessory ribs arising from the seventh cervical vertebra. They occur in ~0.5% of the population, are usually bilateral, but often asymmetric 2, and are more common in females. Related pathology Although cervical ribs are usually asymptomatic, they are the mo...
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Multinodular goitre

Multinodular goitre (MNG) is defined as an enlarged thyroid gland (i.e. goitre) due to multiple nodules which may have normal, decreased or increased function.  Terminology When increased activity and hyperthyroidism are present then the condition is referred to as a toxic multinodular goitre ...
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Lung cancer (staging - IASLC 7th edition) (historical)

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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Azygos vein

The azygos vein is a unilateral vessel that ascends in the thorax to the right of the vertebral column, carrying deoxygenated blood from the posterior chest and abdominal walls. It forms part of the azygos venous system. Terminology The spelling azygous when referring to the vein is incorrect,...
Article

Epipericardial fat necrosis

Epipericardial fat necrosis (also sometimes purely categorised as pericardial fat necrosis or epicardial fat necrosis) is a rare self-limiting cause of acute pleuritic pain in an otherwise healthy individual, without fever or cough. It occurs external to the pericardium. Clinical presentation ...
Article

Stove-in chest

A stove-in chest is a rare and complex type of flail chest injury where the flail segment collapses into the chest. It is usually due to severe blunt trauma to the chest wall and is rarely encountered in imaging or emergency medicine due to the high mortality at the scene. It may evolve over day...
Article

Peripartum/postpartum cardiomyopathy

Peripartum/postpartum cardiomyopathy is a dilated cardiomyopathy that may occur in the last trimester of pregnancy through the first several months postpartum. Epidemiology The estimated incidence in the United States ranges from one in 900 to one in 4000 live births, with an increased inciden...
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Typical pulmonary carcinoid tumours

Typical pulmonary carcinoid tumours are considered the more common and more benign low grade form of peripheral pulmonary carcinoid tumours. There is little or no known association between typical carcinoid tumours and tobacco use or exposure to other carcinogens which contrasts to atypical carc...
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Tuberculous bronchostenosis

Tuberculous bronchostenosis is a potential complication that can occur from endobronchial tuberculosis, especially in a chronic form. Pathology Bronchostenosis usually begins as simple erythema and oedema with lymphocytic submucosal infiltration followed by tubercle formation. Destruction and ...
Article

Rib notching

Rib notching refers to deformation of the superior or inferior surface of the rib. It can affect a single rib (from trauma or solitary masses e.g. schwannoma) or can affect multiple ribs. Differential diagnosis The differentials differ according to whether it is the superior or inferior surfac...
Article

Bronchial stenosis

Bronchial stenosis, or bronchial strictures, are descriptive terms to denote regions of focal narrowing involving the bronchi. They can arise from a wide variety of aetiologies. Pathology Aetiology It can arise from a large range of aetiological factors, which include: tracheobronchial malig...
Article

Pleural mouse

A pleural mouse (plural: pleural mice), also known as a fibrin body is a 1-2 cm mobile rounded clump of fibrin left over after resolution of a pleural effusion 1.
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