Learning Chest Imaging

253 Pages·2013·13.009 MB·English

by  Joel Zabaleta Arroyo M.D., John C. Pedrozo Pupo M.D., FCCP (auth.), John C. Pedrozo Pupo (eds.)

John C. Pedrozo Pupo R L
a E
m A
Editor ó R
n N
R I
i N
b
e G
s · I
Learning A M
n
A
t
o G
n
I
io N
L G
u
n
a
Chest Imaging · P
a
b
l
o
R
.
R
o
s
S
e
r
i
e
s
E
d
i
t
o
r
s
123
Learning Imaging
Series Editors:
R. Ribes • A. Luna • P.R. Ros

John C. Pedrozo Pupo
(Editor)
Learning Chest
Imaging
JOHN C. PEDROZO PUPO
Pulmonologist and Internal Medicine Chief
Respire - Institute for Respiratory Care
Professor at the University of Magdalena
Santa Marta , Colombia

ISBN 978-3-642-34146-5 ISBN 978-3-642-34147-2 (eBook)
DOI 10.1007/978-3-642-34147-2
Springer Heidelberg New York Dordrecht London
Library of Congress Control Number: 2012954871
© Springer-Verlag Berlin Heidelberg 2013
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part
of the material is concerned, speci fi cally the rights of translation, reprinting, reuse of illustrations,
recitation, broadcasting, reproduction on micro fi lms or in any other physical way, and transmission
or information storage and retrieval, electronic adaptation, computer software, or by similar or
dissimilar methodology now known or hereafter developed. Exempted from this legal reservation
are brief excerpts in connection with reviews or scholarly analysis or material supplied speci fi cally
for the purpose of being entered and executed on a computer system, for exclusive use by the
purchaser of the work. Duplication of this publication or parts thereof is permitted only under the
provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for
use must always be obtained from Springer. Permissions for use may be obtained through RightsLink
at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright
Law.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this
publication does not imply, even in the absence of a speci fi c statement, that such names are exempt
from the relevant protective laws and regulations and therefore free for general use.
While the advice and information in this book are believed to be true and accurate at the date of
publication, neither the authors nor the editors nor the publisher can accept any legal responsibility
for any errors or omissions that may be made. The publisher makes no warranty, express or implied,
with respect to the material contained herein.
Printed on acid-free paper
Springer is part of Springer Science+Business Media (www.springer.com)
To all
My wife Deyanira and my children Maria
José and Santiago for being the pillar of my
life and love I have for them
My teachers , for their teachings and
training
My patients, for their trust and respect
My students, for their commitment and
dedication
God for letting me be here and now
My parents (for my father, in memoriam)
My brothers
John C. Pedrozo Pupo

Acknowledgments

The author thanks the department of radiology at the Clinica Mar Caribe, University
of Magdalena, and Respire Institute for Respiratory Care in Santa Marta, Colombia.
John C. Pedrozo Pupo

Contents

1 Pleural and Pleural Space
JOEL ZABALETA ARROYO, JOHN C. PEDROZO PUPO, DIEGO PARDO PINZÓN, AND KATIA MEYER
Case 1: Pleural Tuberculosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Case 2: Malignant Pleural Effusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Case 3: Malignant Pleural Mesothelioma . . . . . . . . . . . . . . . . . . . . . . . 6
Case 4: Tension Pneumothorax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Case 5: Parapneumonic Pleural Effusions . . . . . . . . . . . . . . . . . . . . . . 10
Case 6: Pneumomediastinum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Case 7: Empyema . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Case 8: Hemothorax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Case 9: Fibrothorax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Case 10: Benign Tumors of the Pleura . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Case 11: Metastatic Pleural Tumor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Further Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
2 Diaphragm
JOHN C. PEDROZO PUPO AND DIEGO PARDO PINZÓN
Case 1: Pneumoperitoneum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Case 2: Diaphragmatic Eventration . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Case 3: Hiatal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Case 4: Morgagni Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Case 5: Diaphragmatic Sarcoma. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Case 6: Diaphragmatic Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Case 7: Unilateral Diaphragmatic Paralysis . . . . . . . . . . . . . . . . . . . . . 42
Further Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
3 Mediastinum and Pulmonary Circulation
JOHN C. PEDROZO PUPO, DIEGO PARDO PINZÓN, ALFONSO URIZA CARRASCO,
ELIDA LAURENS MEZA, AND ELIANA AMAYA LACOUTURE,
BEATRIZ ALDANA JARAMILLO
Case 1: Massive Pulmonary Embolism . . . . . . . . . . . . . . . . . . . . . . . . . 46
Case 2: Interlobar Artery Aneurysm . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Case 3: Small Cell Lung Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Case 4: Mediastinitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Case 5: Hodgkin Lymphoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Case 6: Thymoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Case 7: Mediastinal Mature Teratoma . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Case 8: Intrathoracic Goiter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Case 9: Mediastinal Neurofibroma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Case 10: Neuro fi brosarcoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Case 11: Primary Anterior Mediastinal Seminoma . . . . . . . . . . . . . . . 66
Case 12: Bronchogenic Cyst . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Further Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70