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 continuously improved upon by countless contributing members. Our dedicated editors oversee each edit for accuracy and style. Find out more about articles.

161 results found
Article

Right lower lobe collapse

Right lower lobe (RLL) collapse has distinctive features, and is usually relatively easily identified. The smaller overlying heart shadow obscures less lung compared with left lower lobe collapse.  Findings of lower lobe collapse can be grouped together as they are almost identical on both side...
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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 etiologies. Pathology Etiology It can arise from a large range of etiological factors, which include: tracheobronchial malignan...
Article

Medical devices in the thorax

Medical devices in the thorax are regularly observed by radiologists when reviewing radiographs and CT scans. Extrathoracic devices tubing, clamps, syringes, scissors, lying on or under the patient rubber sheets, foam mattresses, clothing, hair braids, nipple piercings, etc., may also be visi...
Article

Right paratracheal lymphadenopathy

Right paratracheal lymphadenopathy represents pathological involvement of any of the lymph nodes in the right upper (2R) and/or lower (4R) paratracheal nodal groups 1. These nodes are often also enlarged but this is not always the case. The commonest causes are sarcoidosis, tuberculosis and lun...
Article

Inferior vena caval contrast reflux

Reflux of contrast into inferior vena cava can be common findings seen on CT. It is considered a specific but insensitive sign of right-sided heart disease / right heart dysfunction at low contrast injection rates although the usefulness decreases with high injection rates. Conditions associate...
Article

Calcifying pulmonary metastases

Calcifying pulmonary metastases are rare. These should not be confused with metastatic pulmonary calcification. Pathology Calcification in metastases can arise through a variety of mechanisms: bone formation in tumors of osteoid origin, calcification and ossification of tumor cartilage, dystro...
Article

Chronic interstitial pneumonitis

Chronic interstitial pneumonitis is a broad descriptive term where an interstitial pneumonia has a prolonged course. It can arise from a range of etiologies. The term does not usually imply a specific radiographic pattern and includes UIP, NSIP or other patterns. As a general rule, there is litt...
Article

Subpulmonic effusion

Subpulmonic effusions (also known as subpulmonary effusions) are pleural effusions that can be seen only on an erect projection. Rather than layering laterally and blunting of the costophrenic angle, the pleural fluid lies almost exclusively between the lung base and the diaphragm. Radiographic...
Article

Peribronchovascular thickening

Peribronchovascular thickening is a broad imaging descriptive term commonly used to describe thickening of any one or more of the below: peribronchovascular interstitial thickening bronchial wall thickening: can be differentiated from true peribronchovascular thickening on cross-sectional imag...
Article

Nodular pleural thickening

Nodular pleural thickening is a form of pleural thickening. Pathology Etiology Most common causes of nodular pleural thickening are malignant and include: metastatic pleural disease, particularly from adenocarcinomas, e.g. bronchogenic adenocarcinoma breast cancer ovarian cancer prostate...
Article

Elevated diaphragm

Elevated diaphragm refers to the symmetrical elevation of both domes of the diaphragm. Pathology Etiology There is some overlap with causes of an elevated hemidiaphragm.  Technical  supine position poor inspiratory effort Patient factors obesity pregnancy Diaphragmatic pathology paral...
Article

Centrilobular lung nodules

Centrilobular lung nodules refer to a HRCT chest imaging descriptor for small 5-10 mm lung nodules which are anatomically located centrally within secondary pulmonary lobules. The term is applied on the basis of location of the nodule and not its morphology, that is they may be well-defined or p...
Article

Idiopathic interstitial pneumonias

The idiopathic interstitial pneumonias (IIPs) are diffuse interstitial lung diseases of unknown cause. They are characterized by cellular infiltration of the interstitial compartment of the lung with varying degrees of inflammation and fibrosis. Classification Over the years many attempts have...
Article

Traversal of lung fissures

Only a small number of pulmonary diseases are known to directly traverse the lung fissures such that the lung pathology extends from one lobe via an interlobar fissure into an adjacent lobe 1. The finding is most commonly due to primary malignancy, however, some infections are also known to do s...
Article

Coin lesion (lung)

A coin lesion refers to a round or oval, well-circumscribed solitary pulmonary lesion. It is usually 1-5 cm in diameter and calcification may or may not be present 1,3. Typically but not always the patient is asymptomatic 1.  Differential diagnosis The differential diagnosis for such lesions i...
Article

Diffuse tracheal narrowing

Conditions associated with diffuse tracheal narrowing or collapse include (in alphabetical order): amyloidosis chronic obstructive pulmonary disease (COPD): saber sheath trachea granulomatosis with polyangiitis relapsing polychondritis sarcoidosis tracheobronchial tuberculosis 3 tracheoma...
Article

Pulmonary necrosis

Pulmonary necrosis is seen in a variety of conditions, including 1:  pulmonary infections  Klebsiella pneumoniae - Klebsiella pneumonia Streptococcus pneumoniae Haemophilus influenzae - pulmonary haemophilus influenzae infection Pseudomonas aeruginosa - pulmonary pseudomonas aeruginosa infe...
Article

Cystic lung lesions (pediatric)

Cystic lesions in pediatric patients are usually congenital lesions and, as such, can be seen antenatally and following delivery. Pathology Etiology Congenital These congenital lesions are predominantly covered by the overarching diagnosis of bronchopulmonary foregut malformation. This is a ...
Article

Mosaic attenuation pattern in lung

Mosaic attenuation is a descriptive term used in describing a patchwork of regions of differing pulmonary attenuation on CT imaging. It is a non-specific finding, although is associated with the following: obstructive small airways disease: low attenuation regions are abnormal and reflect two p...

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