American board of radiology. Chest radiology, ABR,

1. Chest Radiology Case
Conference
October 27,2016.
Dr.Jayanth H Keshavamurthy M.D.

2. Chest pain

3. Twiddler’s syndrome

5. • Pleura: Incomplete border sign bilaterally with tapering
of the outer margins. The pattern mimics a appearance
of holy leaf with distinct thickened and nodular edges,
stereotypical pleural plaque disease.
•
Question past exposure to asbestosis.

6. Pleural plaques

7. Name the sign? It’s significance.

8. Split pleura sign from
Empyema thoracis

10. • IMPRESSION:
1. Interval decrease with now moderate size right
multiloculated pleural fluid collection with prominently
basilar enhancing pleura.
These findings remain concerning for empyema.

11. Stage 4 NSCLC

14. Chronic RML collapse

17. ASD with Eisenmengers

19. Ochronosis

21. Calcific CP

23. • IMPRESSION:
1. Mildly active probably neoplastic anterior mediastinal
mass, contact with great vessels. Differential diagnosis
includes germ cell tumor, thymic carcinoma or thymic
neuroendocrine tumor. Atypical appearance for untreated
lymphoma. A correlation with markers for germ
cell tumors and neuroendocrine tumors might be helpful.
Low FDG avidity is usually associated with less aggressive
behavior, however it also can make detection of metastatic
disease difficult.

24. • Review of the chart shows the patient underwent
anterior mediastinotomy and removal of anterior
mediastinal mass which turned out to be a thyroid
lesion.

25. Chest pain

26. PET CT

27. Ectopic thyroid

30. Lead pipe colon

31. Acute abdominal pain

32. Transverse colon cut off
sign from acute
pancreatitis

34. Thumb printing from C difficile colitis

35. Acute pain
abdomen

37. Sigmoid perforation

38. CLINICAL STATEMENT: "concern for L ptosis, horner syndrome, please
assess for obvious mass, I know you can't rule it out"

39. CTA

40. Palla Sign

42. Endobronchial coils for COPD

43. Name all the
hardwares.

44. EKOS catheter

46. • The KLS Sternal Talon is a new sternal closure device.
The device has two halves that are placed on opposite
sides of the sternotomy and snapped together. Each half
can can have either one or two legs (or hooks). The single-
legged design is shown above.
The device is said to distribute force across a larger area of
bone, which can be helpful in patients with morbid obesity,
diabetes, chronic obstructive pulmonary disease (forceful
coughing), or osteoporosis. The design also allows for
rapid opening in case of post-operative complications.

50. Aneurysm

52. Rugger Jersey spine