All Comers for Word First Image First Sherlock Holmes 1000 Words Where is Waldo
WF
Location 3
Loculated Complex Pleural Effusions Axial CT through the lung bases with large bilateral effusions with compressive atelectasis. The abnormal shape, particularly of the left lung characterized by pointed tethering and fixation of the left lower parenchyma at 2 points to the pleura indicating a fibrotic adhesive process and loculation Ashley Davidoff MD TheCommonvein.net RnD
Location 3
Compressive Atelectasis and Complex Pleural Effusions 46 year-old female with bilateral pleural effusions, left greater than right. The scout film prior to the CT scan shows a left retrocardiac consolidation and a suggestion of a left sided complex pleural effusion. The liver appears enlarged. Ashley Davidoff MD TheCommonvein.net 238Lu RnD image
Location 3
Compressive Atelectasis and Complex Pleural Effusions 3D CT reconstructions show ?naked? segmental airways to the lowers consistent with atelectasis. There is sparing of the superior segmental airways bilaterally. Ashley Davidoff MD TheCommonVein.net 238Lu RnD image
Location 3
85-year-old female with a history of lung cancer, presents with a dyspnea and hypotension. CT scan shows a large right pleural effusion under pressure, suggestion of blood in the pleural cavity (high density sediment layering posteriorly) and overall mediastinal shift to the right. In addition, there is compression on the left atrium, and compression of the SVC. The effusion in the right pleural cavity results in lobar atelectasis of the right lower and middle lobes. The pleural cavity herniates into the left hemithorax, pushing the esophagus into the left hemithorax Ashley Davidoff MD TheCommonVein.net RnD Image 106Lu
Location 3
Bilateral Pleural Effusions with Compressive Atelectasis 83 year old with bilateral pleural effusions, right larger than left with bibasilar compressive atelectasis. There is significant coronary calcification including left main disease and possible LAD stent. The left atrium is enlarged likely secondary to elevated left ventricular end diastolic pressure. This finding and the pleural effusions suggest CHF. Visualization of the wall of the aorta without the usual coarsened calcification raises the possibility of anemia Ashley Davidoff MD TheCommonVein.net RnD image
Rounded Atelectasis (aka Folded Lung Syndrome) and Asbestos Related disease
Location 3
Rounded Atelectasis (aka Folded Lung Syndrome) and Asbestos Related disease 72-year-old male with a history of asbestos exposure presents with a cough. Axial CTscan shows a pleural based nodule with a comet tail and a series of lung markings folded into the nodule. There is subsegmental compensatory hyperinflation of the lateral segment of the right lower lobe Noted bilateral pleural thickening and pleural based calcification which is reminiscent of asbestos related disease. Early evolution of rounded atelectasis is also noted in the left lower lobe Ashley Davidoff MD TheCommonVein.net RnD 240Lu
WF CHF Kerley B Lines and Thickening of the Interlobular septa
Location 3
CHF Kerley B Lines and Thickening of the Interlobular septa 74-year-old female presents in CHF and an echo showing reduced EF (35%) CT scan from a coronary CTA with a limited field of view above, and magnified below shows thickening of the interlobular septa extending to the periphery and in contact with the pleural surface indicating moderate CHF Ashley Davidoff MD TheCommonVein.net 003H RnD
Centrilobular Nodules
Location 3
Centrilobular Nodules 77F with long history of dyspnea and cough showing medium and small airway disease, centrilobular nodules, paraseptal nodules ground glass changes and mosaic attenuation Diagnosis includes Stage 3 sarcoidosis Ashley Davidoff TheCommonVein.net RnD
Location 3
Para-septal and Centrilobular Nodules 77F with long history of dyspnea and cough showing medium and small airway disease, centrilobular nodules, para-septal nodules ground glass changes and mosaic attenuation Diagnosis includes Stage 3 sarcoidosis Ashley Davidoff TheCommonVein.net
WF Centrilobular Emphysema
Location 3
Centrilobular Emphysema in the Upper Lobes of the Lungs Axial CT (a) with magnified view of the upper lobes of a 66year female with centrilobular emphysema shows an expanded lobule with a centrilobular vessel in the middle characteristic of centrilobular emphysema Ashley Davidoff MD TheCommonvein.net RnD
WF Panlobular Emphysema
Location 3
Panlobular Emphysema CT scan of a 78 year old male with history of alpha-1 antitrypsin deficiency with extensive and severe emphysematous change uncharacteristically more prominent in the upper and midlung regions. Associated complex right pleural effusion with compressive atelectasis Ashley Davidoff TheCommonVein.net RnD
1000 Words
Left Upper Lobe Atelectasis (Collapse) Caused by Central Squamous Cell Carcinoma and Left Breast Lesion
Location 3
Left Upper Lobe Atelectasis (Collapse) Caused by Central Squamous Cell Carcinoma 82-year-old female with dyspnea presents with an obstructing and infiltrating central squamous cell carcinoma of the left main stem bronchus with secondary post obstructive atelectasis of the left upper lobe of the lung. In addition, there is encasement of the left pulmonary artery and a small left effusion. A spiculated lesion at the base of the left breast in close association with the left pectoralis muscle The lesion also extends beyond the muscle to abut the rib. There is a small amount of fluid in the pericardial recess, and an small left pleural effusion. Ashley Davidoff MD TheCommonVein.net RnD case 239Lu
1000 words CXR White Out S/P Left Pneumonectomy
Location 3
CXR White Out S/P Left Pneumonectomy Frontal CXR of a 98-year-old woman showing a left sided white out secondary to a pneumonectomy. The soft tissue structures of the mediastinum have all shifted into the left hemithorax accounting for the white out. The calcified mitral annulus, calcified coronary arteries and right ventricle (RV pacemaker lead) confirm the diagnosis of acquired dextrocardia. There is hyperinflation of the right lung which crosses the midline associated with a small effusion . A significant dextro-thoracic scoliosis with a compensatory levoscoliosis of the lumbar spine is present Ashley Davidoff MD TheCommonVein.net 269Lu 136234
Location 3
CXR White Out S/P Left Pneumonectomy Frontal CXR of a 98-year-old woman showing a left sided white out secondary to a pneumonectomy. The soft tissue structures of the mediastinum have all shifted into the left hemithorax accounting for the white out. The calcified mitral annulus (b, white arrowhead), calcified right coronary artery – RCA (b, maroon arrowhead) and left anterior descending (LAD) ? (b, bright red arrowhead) and right ventricle (RV pacemaker lead) confirm the diagnosis of acquired dextrocardia. There is hyperinflation of the right lung which crosses the midline associated with a small right effusion. A significant dextro-thoracic scoliosis with a compensatory levoscoliosis of the lumbar spine is present Ashley Davidoff MD TheCommonVein.net 269Lu136234cL
