Vol. 2 Issue 5 Chest Case Study

IMAGING CENTRE
VITAL IMAGING
Chest
Newsletter
(Volume 3: Issue 5)
Imaging
Redefined
•
MULTISLICE
SPIRAL CT SCAN
•
HRCT CHEST
•
CT ANGIOGRAPHY
•
CT VIRTUAL
BRONCHOSCOPY
•
DENTAL CT
•
DIGITAL X-RAY
•
SONOGRAPHY
•
COLOR DOPPLER
•
PORTABLE
SONOGRAPHY &
COLOR DOPPLER
•
PORTABLE
DIGITAL X-RAY
•
DIGITAL OPG
•
PATHOLOGY
VITAL IMAGING
CENTRE
State-Of-The-Art Imaging in Chest
Case Study 1:
A 15yr old female presented with fever and weight loss. No significant
past history.
Chest radiograph showed right paratracheal widening suggestive of
probable lymphadenopathy. A contrast enhanced CT Chest performed
at VITAL showed enlarged necrotic lymphnodes in the pre and paratracheal and precarinal region. Necrotic mediastinal lymphadenopathy
with such clinical presentation is virtually diagnostic of Tuberculosis.
Chest radiograph showing
right paratracheal widening
Contrast CT Chest showing enlarged necrotic pre and
paratracheal and precarinal lymphadenopathy.
Case Study 2:
53yr old lady presented with cough and breathlessness.
The chest radiograph did not reveal any obvious abnormality. A High
Resolution CT of the Chest was performed at VITAL. It shows patchy
areas of ground glass attenuation in the lung parenchyma bilaterally,
which in the given clinical scenario is suggestive of Hypersensitivity
Pneumonitis.
B – ROYAL CLASSIC,
New Link Road, Next To
Fame Adlabs, Andheri -W,
Mumbai – 53.
PH: 2630 1184 / 85
email: [email protected]
8:30A.M. – 8:30P.M.
www.vitalradiology.com
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(Page 1)
Normal chest radiograph
HRCT Chest showing patchy areas of ground glass
attenuation in the lung parenchyma bilaterally.
For more information, or for any questions, concerns or suggestions
please do call us on Ph: 2630 1184 / 85.
VITAL IMAGING
> > > EXCELLENCE IN IMAGING
…. ALWAYS!
IMAGING CENTRE
State-Of-The-Art Imaging in Chest
Case Study 3:
A 25yr old female presented with fever. Lab investigations revealed leukocytosis.
Chest radiograph was normal. A contrast enhanced CT Chest was performed and showed
a large area of consolidation in the posterior basal segment of the left lower lobe, retrocardiac in location. The chest radiograph apparently appeared normal because of the
retrocardiac location of the consolidation.
Normal looking chest radiograph
Contrast CT Chest showing a large area of consolidation in the posterior
basal segment of the left lower lobe, retro-cardiac in location.
Take Home Points:
Case Study 4:
> HRCT Chest is far superior to
plain chest radiograph for lung
parenchymal evaluation such as
infections, interstitial lung disease,
bronchiectasis, etc.
35yr old male patient with PUO (pyrexia of unknown origin).
> Contrast enhanced CT chest is
the modality of choice for detailed
mediastinal evaluation.
> Necrotic mediastinal
lymphadenopathy in an
appropriate clinical setting is
virtually diagnostic of tuberculosis.
Chest radiograph was essentially normal. A CT chest and
abdomen was advised by the physician. An HRCT Chest
performed showed tiny nodules randomly distributed
throughout the lung parenchyma bilaterally suggestive of
Miliary Tuberculosis. HRCT is far superior to a conventional /
digital chest radiograph for detailed evaluation of the lung
parenchyma.
> Retrocardiac consolidation can
be missed on an X-ray, hence a
CT Chest should be considered in
a given clinical scenario.
Normal chest radiograph
HRCT Chest showing extensive tiny
miliary nodules bilaterally
(Page 2)
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For more information, or for any questions, concerns or suggestions please do call us on
Ph: 2630 1184 / 85.
VITAL IMAGING
>>>
EXCELLENCE IN IMAGING
…. ALWAYS!