This exercise is intended for Pulmonary fellows and radiology Residents. Try your skills in evaluating cavities in chest x-ray. First identify the characteristics of the cavity. Generate a list of differential in your mind. Without knowing the clinical information, a specific diagnosis is difficult to make. Click on labeled image to see what the case turned out to be. If it was in your differential you should be happy. If you cannot find the answers for the questions raised, contact me. | ||
Case 1 | Labeled Image | What are the conditions where you get thin walled cavities? |
Case 2 | Labeled Image | What is the differential for multiple cavities? |
Case 3 | Labeled Image | What is the differential for thick walled cavity? |
Case 4 | Labeled Image | What are the contents of a cavity? |
Case 5 | Labeled Image | How do you distinguish septic emboli from aspiration pneumonia? |
Case 6 | Labeled Image | What is the differential for air fluid levels in the mediastinum? |
Case 7 | Labeled Image | What is the etiology for lung abscess in the anterior segments? |
Labeled Image | I treated this patient as having
lung abscess secondary to aspirated coin. The cavity turned out to be due
lung cancer.
Moral: Close follow up until the problem is resolved. |
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Case 9 Follow up | Labeled Image | What are the pulmonary manifestations of Ankylosing spondylitis? |
Case 10 | Labeled Image | What is the differential for multiple cavities? |
Case 11 | Labeled Image | What is the differential for thick walled cavity? |
Case 12 | Labeled Image | Follow the progression of break down of tumor. What are stalactites and stalagmites? |
Case 13 | Labeled Image | What is the differential for air fluid levels over the cardiac density? |
Case 14 | Labeled Image | What is the significance of pleural reaction? |
Case 15 | Labeled Image | What are the characteristics of tuberculous cavity? |
Case 16 | Labeled Image | How do you distinguish cavities due to bronchogenous problems from vascular problems? |
Case 17 | Labeled Image | What are the distinguishing characteristics of cavity due to Tb and M Kansasii (atypical Tb)? |
Case 18 | Labeled Image | What are the causes for thin
walled cavities?
What are the possible reasons for the air fluid level in this case? |
Case 19 | Labeled Image | What are the causes for bilateral upper lobe cavitary disease? |
Case 20 | Labeled Image | List organisms causing necrotizing pneumonia leading to cavitation. |
Case 21 | Labeled Image | |
Case 22 | Labeled Image | |
Case 23 | Upright | What are the common cavities where fungous ball forms? |
Case 24 | Labeled Image | What is gangrene lung? |
Case 25 | Labeled Image | What are the features of cavitating lung cancer? |
Case 26 | Labeled Image | List of conditions where stalagmites and stalactites can be seen in a cavity. |
Case 27 | Labeled Image | How do you distinguish septic emboli from aspiration lung abscesses? |
Case 28 | Labeled Image | How can you identify cavities projecting in CXR as not being in lung? |
Case 29 | Labeled Image | |
Case 30 Initial PA | Labeled Image | What are the common segments for
aspiration lung abscess?
What are the types of aspiration? |
Case 31 | Labeled Image | What are the common primaries known to give rise to thin walled cavitating metastatic lesions? |
Case 32 | Labeled Image | How does location of cavity in a mass help in the differential? |
Case 33 | Labeled Image | |
Case 34 | Labeled Image | What is semi invasive aspegillosis? |
Case 35 | Labeled Image | Most common cause for thin
walled cavities?
You should probably ask which region? |
Case 36 | Labeled Image | Observe the progression of breakdown of tumor explaining the radiological findings. |
Case 37 | Labeled Image | How do you distinguish LL lung abscess from hiatal hernia? |
Case 38 | Labeled Image | |
Case 39 | Labeled Image | What are the characteristics of cavity due to wegners granulomatosis? |