By Ralph Weissleder, Jack Wittenberg, Mukesh Mgh Harisinghani, John W. Chen, M.D.
Primer of Diagnostic Imaging, "the crimson book," offers a finished, up to date examine diagnostic imaging in an easy-to-read, bulleted layout. Drs. Ralph Weissleder, Jack Wittenberg, Mukesh Harisinghani, and John W. Chen mix designated illustrations and photographs with counsel at the most modern functions of puppy, CTA, and MRA right into a transportable source for handy reference at any place you pass. on-line entry at www.expertconsult.com makes it even more straightforward to faucet into the counsel you want to continue to exist your radiology residency. clutch the nuances of key diagnostic info for all physique platforms, corresponding to very important symptoms, anatomic landmarks, and customary radiopathologic changes, via pictures and illustrations for the whole variety of radiologic modalities and specialties. Reference info fast utilizing the easy-to-read, one-column, bulleted layout. paintings via diagnoses via hundreds of thousands of differentials that assist you organize for board certification. overview details successfully due to more space for observe taking and mnemonics and descriptive terminology that make it effortless to recollect key evidence, ideas, and pictures. grasp the newest applied sciences, together with hybrid puppy, CTA, and MRA, via up-to-date and elevated insurance of imaging modalities and their purposes. comprehend the impression of the newest disorder entities at the interpretation of radiological findings. locate the knowledge you would like simply with a brand new streamlined textual content, with much less crucial info moved on-line. entry the totally searchable contents on-line at www.expertconsult.com. Primer of Diagnostic Imaging is famous because the survival consultant for radiology citizens
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Extra info for Primer of Diagnostic Imaging, 5th Edition
Pneumoniae Pathogen Imaging S. pneumoniae K. pneumoniae Others S. aureus H. influenzae Fungal Air bronchogram Consolidation (no volume loss) A Lobar distribution B Chest Imaging 7 Summary—cont'd Type Pathogen Bronchopneumonia Primarily affects the bronchi and adjacent alveoli Volume loss may be present as bronchi fill with exudate Bronchial spread results in multifocal patchy opacities S. aureus Gram negatives Others H. influenzae Mycoplasma Imaging Patchy consolidation in segmental distribution Nodules Variable in size Indistinct margins Cavitary Lesions Abscess: necrosis of lung parenchyma ± bronchial communication Fungus ball (air crescent sign) Pneumatoceles due to air leak into pulmonary interstitium (S.
Gordonae, M. fortuitum = “fast grower”). Unlike TB, NTMB infections are not acquired by human-human transmission but are a Reactivation Pneumonitis (UL, sup. seg. LL) Pleuritis, empyema Caseous necrosis (cavity) hematogenous spread Miliary TB Figure 1-19 Fistula, pneumothorax Fibrosis Complications • bronchogenic spread to lung • bronchiectasis • bronchial stenosis • Rasmussen aneurysm • spread to GI tract from swallowed secretions Chest Imaging 11 direct infection from soil or water. There is also no pattern of primary disease or reactivation: the infection is primary, although some may become chronic.
CD4 cell count usually <50 cells/mm3. Radiographic Features • Hilar and mediastinal adenopathy common Necrotic lymph nodes (TB) have a low attenuation center and only rim enhance with contrast. MTB is more commonly associated with necrosis from MAI. Adenopathy in Kaposi sarcoma or lymphoma enhances uniformly. • Pleural effusion • Other findings are similar to non-AIDS TB (upper lobe consolidations, cavitations) Fungal infections Cystic spaces Figure 1-28 Fungal infections in AIDS are uncommon (<5% of patients).