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Chest Radiology: Plain Film Patterns and Differential Diagnoses, 6th Edition, by James C Reed, MD, provides expert guidance on interpretation of the most often seen radiologic patterns of chest disease. The new edition continues to emphasize pattern recognition on plain film -- with correlative CT, MR and other important modalities included where appropriate. Each pattern is introduced with radiographs followed by a series of questions, tables of differential diagnosis, and discussions of the most likely diseases to present with such a pattern. The discussion sections emphasize the importance of clinical correlation to narrow down the differential diagnosis, and what follow-up tests are indicated to definitively confirm a diagnosis. New high-quality digital images and updated questions enhance the latest edition of this trusted reference.

  • Get all you need to know about the fundamentals of plain film chest radiology as well as CT, MR, and other important modalities.
  • Overcome clinical challenges with guidance about the pitfalls of plain film radiography, and indications for CT, HRCT, biopsy, and other procedures.
  • Use comparative image study to master pattern recognition and improve your understanding of the correlation between findings on plain film, CT, MR, and more.
  • See imaging findings as they appear in practice and discern subtle nuances found in new, high-quality digital images.
  • Test your knowledge with illustrated case studies and quizzes featuring newly written questions that address the challenges seen in practice today.



Publié par
Date de parution 27 octobre 2010
Nombre de lectures 2
EAN13 9780323083218
Langue English
Poids de l'ouvrage 4 Mo

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Chest Radiology
Plain Film Patterns and Differential Diagnoses
Sixth Edition

James C. Reed, M.D.
Professor of Radiology, University of Louisville, Louisville, Kentucky
Front Matter

Chest Radiology: Plain Film Patterns and Differential Diagnoses
James C. Reed, M.D.
Professor of Radiology
University of Louisville
Louisville, Kentucky
with 548 illustrations

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Library of Congress Cataloging-in-Publication Data
Reed, James Croft, 1942-
 Chest radiology : plain film patterns and differential diagnoses / James C. Reed.—6th ed.
    p. ; cm.
 Includes bibliographical references and index.
 ISBN 978-1-4377-2345-8 (hardcover : alk. paper)
 1. Chest—Radiography. 2. Diagnosis, Radioscopic. I. Title.
 [DNLM: 1. Radiography, Thoracic. 2. Diagnosis, Differential. 3. Respiratory Tract Diseases—radiography. WF 975 R324c 2011]
 RC941R4 2011
Senior Acquisitions Editor: Rebecca Gaertner
Editorial Assistant: David Mack
Publishing Services Manager: Patricia Tannian
Team Manager: Radhika Pallamparthy
Senior Project Manager: Kristine Feeherty
Project Manager: Antony Prince
Design Direction: Lou Forgione
Printed in the United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
To my wife, Sharon, whose continuing support and encouragement made it possible for this book to reach the Sixth Edition.
Preface to the Sixth Edition
Chest radiology continues to be a large part of medical imaging, and advances in technology have resulted in a number of important changes. This could have impacted the title of this book. Most radiology practices have converted to digital imaging, and the title Plain Film Patterns may seem quaint, but I choose not to call it chest x-ray, radiographic, or image patterns.
Chest radiology procedure volume continues to be high, making it an important part of most radiology practices. The primary problems in plain film interpretation fall into the two broad categories of perception and interpretation challenges. It is always the goal of the radiologist to make a specific diagnosis, and many exams permit a precise radiographic diagnosis but many more require additional studies.
CT, MR, ultrasound, and image-guided interventional procedures may all be used to make precise diagnoses, but CT has had the greatest impact on diagnostic chest imaging. This edition has expanded the number of CT images, which are correlated with the plain film to better explain the basic patterns of chest radiology.
TOP 5 DIAGNOSES is a new feature of this edition. This is intended to emphasize the importance of offering short, clinically relevant differential diagnoses, but remember that a specific diagnosis is always preferred to a differential list.

James C. Reed, M.D.
Preface to the Fifth Edition
The practice of chest radiology continues to evolve with rapid changes in technology and our understanding of diseases. I have continued to refer to the chest radiographic image as a plain film for simplicity. As a result of digital radiography, the techniques for creating and viewing the chest radiograph are more variable than ever, but the basic principles requiring a high-quality image and careful interpretation still apply. The impact of CT on chest radiology has continued to expand with the technical advances of spiral and multi-detector CT, which have made CT angiography a reality. HRCT has also continued to have a greater impact on the diagnosis and management of diffuse lung diseases. The improved imaging of the diffuse diseases, combined with changes in the pathologic and clinical understanding of these diseases, has resulted in significant changes in the classification of diffuse lung diseases. Lung cancer detection is a continuing problem, but there are significant changes in the way lung cancer is detected, staged, and followed. Infectious diseases also remain a cause of more life-threatening complications. Since September 11, 2001, there are new threats in the form of biologic terror that have even impacted chest radiology. Anthrax previously has not been considered a likely human disease, but it is now included as an important cause of acute onset of mediastinal adenopathy and mediastinal widening. Continued study leads to ongoing improvements in the diagnosis and management of chest diseases. Chest radiology is a discipline that requires the mind of a detective and the ability to find answers to the unknown by careful review of the shadows.

James C. Reed, M.D.
Preface to the Fourth Edition
Progress in the diagnosis and treatment of chest diseases continues to expand the scope of chest radiology. In an effort to avoid confusing terminology, I have reconsidered an old semantic concern for description of basic observations: The term density is correctly used to describe the mass of a substance per unit volume. The radiologist recognizes that an increase in tissue may cast a shadow or opacity that appears white on the film. Such a shadow is frequently described as a density, but density has an opposite meaning when it is used to describe film blackening or optical density. The term density has therefore been a recurring source of confusion. While density is still often used to describe a white abnormality on exams such as mammograms, the glossary of terms published by the Fleischner Society has shown a strong preference for the term opacity . New advances in our understanding of diffuse pulmonary diseases have also led to some updates in pathologic and radiologic descriptive terminology.
Our advancing knowledge of diseases such as AIDS continues to expand our understanding of the diversity of patterns of chest disease. Many common diseases including lung cancer, tuberculosis, and AIDS-related diseases produce a variety of plain film patterns. AIDS-related diseases are considered causes of mediastinal adenopathy, diffuse air-space disease, multifocal opacities, and hyperlucent abnormalities. The major technical advances to affect chest disease are in CT. High-resolution thin section CT has replaced bronchography for the diagnosis of bronchiectasis and has advanced our understanding of the patterns and distributions of diffuse pulmonary diseases. Single-breath hold spiral CT has reduced artifacts and provides a new area for further research. The plain film, however, continues to be the most frequently performed of all radiologic procedures, and while it appears to be simple to perform, it is often the most challenging of radiologic exams to interpret.

James C. Reed, M.D.
Preface to the Third Edition
In the last decade, we have seen the emergence of exciting new techniques and the appearance of new diseases. AIDS has profoundly affected many aspects of our society and the practice of medicine, including interpretation of the plain chest film. Computer technologies are changing the way we examine patients, and they offer a host of new imaging options. Computed radiography is addressing some old technical problems and should provide better quality bedsid

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