23 results
Regression of Clubbing after Treatment of Lung Cancer #Clinical #PhysicalExam #Radiology #Clubbing #Regression #LungCancer #CT #NEJM
Clubbing after Treatment ... of Lung Cancer ... Regression #LungCancer #CT ... #NEJM
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Blood cultures • CXR ... ) • CXR upright ... seen • Chest CT ... hemorrhage • Treatment ... westermani • Other: TB
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
affecting the lungs ... and Culture • CXR ... Tuberculosis Treatment ... Initiating Treatment ... • Check CXR and
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Dyspnea (underlying lung ... disease or CHF) ... ) • Abnormal CXR ... refer + order CT ... History of cancer, lung
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
affecting the lungs ... and Culture • CXR ... Tuberculosis Treatment ... Initiating Treatment ... • Check CXR and
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
IgG4-Related Disease ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT ... IgG4 #Related #Disease
Tuberculin Skin Test Interpretation - Threshold for treatment
Induration cutoff >5mm:
 • Recent exposure to an individual
Threshold for treatment ... • Abnormal CXR ... consistent with old TB ... disease • HIV ... carcinoma of head/neck/lung
Bronchiectasis - Permanent dilation of an airway
WHAT CAN YOU SEE ON CT?
1) Lack of tapering of
CAN YOU SEE ON CT ... segment or lobe of lung ... involving both lungs ... Infection (Bacterial, TB ... Rheumatologic/Autoimmune diseae
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status • Chronic lung ... infections Lungs ... to NTM: Chronic lung ... Kansasii: • Mimics TB ... Imaging, high res CT
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
area of the left lung ... her history of treatment ... oleothorax — a treatment ... PCC #Radiology #CXR ... #Oleothorax #NEJM