By Ralph Weissleder MD PhD, Jack Wittenberg MD, Mukesh MGH Harisinghani MD, John W. Chen MD PhD, Stephen E. Jones MD PhD, Jay W. Patti MD
The 4th variation of this article - popularly referred to as the "purple ebook" - returns with a complete, updated examine diagnostic imaging, offering crucial proof in an easy-to-read, bulleted layout. greater than 1,800 photographs spotlight key diagnostic information and surround the entire diversity of modalities and specialties. A differential prognosis part is located on the finish of every bankruptcy, and a differential index allows swift reference. The 4th variation comprises assurance of recent applied sciences, emphasizes scientific technical advances in CT and MRI, and examines the emergence of puppy. A CD-ROM - new to this version - positive factors animations that depict the spatial and temporal complexities of MRI.Highlights key diagnostic info for all physique structures and encompasses the entire variety of radiologic modalities and specialties with greater than 1,800 pictures - multi functional handy source.Presents key details in an easy-to-read, bulleted structure for speedy reference.Describes very important indicators, anatomic landmarks, and customary radiopathologic alterations.Provides more room for observe taking.Includes mnemonics and descriptive terminology to augment remember of key proof, thoughts, and images.Examines new applied sciences, together with hybrid puppy know-how and new purposes of MRI.Covers new innovations in interventional radiology and electronic mammography.Emphasizes subspecialty scientific technical advances in CT and MR - in addition to their up-to-date protocols - in addition to the emergence of PET.Discusses present developments and alterations in illness category and their effect at the interpretation of radiological findings. positive aspects the contributions of recent editor John W. Chen, who stocks his wisdom in MR and neuroradiology.Includes a CD-ROM that includes animations that depict the spatial and temporal complexities of MRI.
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Extra resources for Primer of Diagnostic Imaging, 4th Edition
Example text
ASPERGILLOSIS Aspergillus is a ubiquitous fungus that, when inhaled, leads to significant lung damage. The fungus grows in soil, water, decaying vegetation, and hospital air vents. Infection with A. fumigatus > A. flavus, A. niger, or A. glaucus. There are four unique forms of pulmonary aspergillosis, each associated with a specific immune status. Immune status Hypersensitivity Normal Mild suppression Severe suppression ABPA Aspergilloma Semi-invasive Invasive form T YP E S O F A S P E R G I LLO S I S Type Lung Structure Immune Status Pathology Allergic (ABPA) Aspergilloma Invasive Semi-invasive Normal Preexisting cavity Normal Normal Hypersensitivity Normal Severely impaired Normal or impaired Hypersensitivity → bronchiectasis, mucus plugging Saprophytic growth in preexisting cavity Vascular invasion, parenchymal necrosis Chronic local growth, local cavity formation Central bronchiectasis ALLERGIC BRONCHOPULMONARY ASPERGILLOSIS (ABPA) ABPA represents a complex hypersensitivity reaction (type 1) to Aspergillus, occurring almost exclusively in patients with asthma and occasionally cystic fibrosis.
Post. Sup. Superior Right middle lobe Medial Sup. lingula Medial Inf. lingula Med. Lateral Ant. Post. Ant. med. Lat. Sup. Ant. Lat. Med. Post. Ant. med. Lat. Post. Lower lobes Lower lobes BRONCHIAL CT ANATOMY Anterior segment Apical segment Posterior segment Medial segment RML RUL bronchus Carina LUL Anterior Medial Lateral Bronchus intermedius Lateral segment LLL RLL Posterior 3 Chest Imaging PLAIN FILM ANATOMIC LANDMARKS Post. junction line Lines • Anterior junction line: 2-mm linear line that projects over the trachea.
Cavitation, adenopathy, and effusions are rare. • Disseminated form: CNS, other organs CANDIDIASIS Caused by Candida albicans > other Candida species. Clinical Findings Typically in patients with lymphoreticular malignancy; suspect pulmonary disease if associated with oral disease. Often there is disseminated fungemia. Radiographic Features • Plain film is nonspecific: opacities (lower lobe) > nodules • Nodular disease in disseminated form • Pleural effusion, 25% • Cavitation and adenopathy are rare.