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美国放射学专业住院医师口试复习病例精选:胸部病例(13)

 敏敏yark 2016-11-03

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Oral Recalls: Chest(13)


Pulmonary Hemorrhage in Goodpasture Syndrome. Posteroanterior chest film in a patient with Goodpasture syndrome shows asymmetricbilateral airspace disease presenting intra-alveolar blood.


B&HFigure 14.7


Pancoast tumor. A 53-year-old man with a 50 pack-year history of smoking began experiencing upper back pain for several weeks. PA chest radiograph shows asymmetry of the apices (superior sulcus). The right apex is more opaque than the left. When the image is enlarged, the partially destroyed second and third right posterior ribs near the costovertebral junction can be seen.


http://emedicine./article/359881-media

Pancoast tumor. Axial nonenhanced CT image of the upper dorsal spine demonstrates a soft tissue mass destroying the vertebra on the right and the right posterior elements, including the pedicle and part of the posterior spinous process.


http://emedicine./article/359881-media

Pancoast tumor. Axial T1-weighted image shows cord compression caused by a large, enhancing mass. The right subclavian artery is not involved.


http://emedicine./article/359881-media


Chest radiograph demonstrating both a right lower lobe collapse and a right middle lobe collapse. The left lung is hyperexpanded.


http://emedicine./article/353833-media


In the close-up view of the left upper lobe from a chest radiograph, there is a thin-walled cavity containing a soft-tissue mass. Cavity was from old tuberculosis.


http://www./archives2009/COW%20374-Air%20Crescent%20Sign/aircrescentsigncorrect.htm

Bilateralaspergillomas in a 71-year-old man with residual tuberculosis. Chest computed tomographic (CT) scan (lung window) shows large cavities bilaterally in the upper lobes containing fungus balls of different sizes.


http://radiographics./content/21/4/825.full?sid=721d82c2-7539-4cf4-b9a8-d61d5a51797f

Semi-invasive aspergillosis in a 68-year-old man with chronic bronchitis and recurrent episodes of mild hemoptysis. Thin-section CT scan (lung window) shows bilateral rounded areas of consolidation with associated cavitation in both upper lobes.


http://radiographics./content/21/4/825.full?sid=721d82c2-7539-4cf4-b9a8-d61d5a51797f

CThalo sign.


Duke

ABPA. Right lung finger-in-glove consolidations.


http://rad./medpix/medpix_image.html?imageid=31916&quiz=no#top

ABPA. Right lung finger-in-glove consolidations.


http://rad./medpix/medpix_image.html?imageid=31916&quiz=no#top


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