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By William Herring, MD, Vice-Chairman, and Program Director, Department of Radiology, Albert Einstein Medical Center, Philadelphia, PA
Description Ease your exam anxiety...and sharpen your clinical skills! Written by William Herring, MD – a seasoned radiology instructor and creator
of an award-winning radiology teaching web site – Learning Radiology efficiently presents just the radiology knowledge you need to know
to get through clinical rotations and USMLEs. And, bonus online access via STUDENT CONSULT – where you will find the complete text of
the book, self-assessment quizzes, and more – makes this an even more effective learning tool!
Audience
Medical Students in clinical rotations
Contents
1. Recognizing Anything
The "colorful" world of radiology A systematic approach – the "truth" about systems Terminology Conventions
used in this book
2. Recognizing a Technically Adequate Chest Radiograph
Penetration Inspiration Rotation Magnification Angulation The
lateral chest
3. Recognizing Cardiomegaly
The cardiothoracic ratio Extracardiac causes of apparent
cardiac enlargement Effect of projection and inspiration on perception of heart size Recognizing cardiomegaly in infants
4.
Recognizing Airspace versus Interstitial Lung Disease
Normal lung markings Characteristics of airspace disease Some
causes of airspace disease Characteristics of interstitial lung disease Some causes of interstitial lung disease
5.
Recognizing the Causes of an Opacified Hemithorax
Atelectasis of the entire lung Massive pleural effusion Pneumonia
of an entire lung Post-pneumonectomy
6. Recognizing Atelectasis
What is atelectasis? Signs of
atelectasis Types of atelectasis Patterns of collapse in lobar atelectasis How atelectasis resolves
7. Recognizing
a Pleural Effusion
Normal anatomy and physiology of the pleural space Causes of pleural effusions Types of pleural
effusions Recognizing the different appearances of pleural effusions Side-specificity of pleural effusions
8.
Recognizing Pneumonia
General considerations Recognizing pneumonia – general characteristics Patterns of pneumonia Aspiration
pneumonia Localizing pneumonia How pneumonia resolves
9. Recognizing Pneumothorax, Pneumomediastinum, Pneumopericardium,
and Subcutaneous Emphysema
Normal anatomy Recognizing a pneumothorax Recognizing the pitfalls in overdiagnosing
a pneumothorax Types of pneumothoraces Causes of a pneumothorax Other ways to diagnose a pneumothorax Pulmonary interstitial
edema (PIE) Recognizing pneumomediastinum Recognizing pneumopericardium Recognizing subcutaneous emphysema
10.
The ABCs of Heart Disease: Recognizing Adult Heart Disease from the Frontal Chest Radiograph
Heart size Cardiac contours – ascending aorta Cardiac contours – "double density" of left atrial enlargement Cardiac contours – right atrium Cardiac contours – aortic knob Cardiac contours – main pulmonary artery Cardiac contours?concavity for left atrium Cardiac contours – left ventricle Cardiac
contours – descending aorta The pulmonary vasculature – normal The pulmonary vasculature?pulmonary venous hypertension The pulmonary
vasculature – pulmonary arterial hypertenison The pulmonary vasculature – increased flow to the lungs The pulmonary vasculature – decreased flow to the lungs The ABCs of heart disease system A – is the left atrium enlarged? B – is the main pulmonary artery
big or bulbous? C – is the main pulmonary artery segment concave? D – is the heart a dilated or delta-shaped heart Other facts
11.
Recognizing Congestive Heart Failure and Pulmonary Edema
Congestive heart failure – general considerations Pulmonary
interstitial edema Pulmonary alveolar edema Non-cardiogenic alveolar edema – general considerations Differentiating cardiac
from non-cardiogenic pulmonary edema
12. Recognizing the Correct Placement of Lines and Tubes and Their Potential
Complications: Critical Care Radiology
Endotracheal tubes and tracheostomies Intravascular catheters Pleural drainage
tubes (chest tubes, thoracotomy tubes) Cardiac devices – pacemakers, AICD, IABP GI tubes and lines – nasogastric tubes, feeding
tubes
13. Recognizing Mediastinal and Lung Masses and Metastases
Mediastinal masses Anterior mediastinum Middle
mediastinal masses Aortic aneurysms Posterior mediastinal masses Solitary nodule/mass in the lung Bronchogenic carcinoma Metastatic
neoplasms in the lung
14. Recognizing the Basics on CT of the Chest
Introduction Normal chest CT
anatomy Five-vessel level Aortic arch level Aorto-pulmonary window level Main pulmonary artery level High cardiac level Low
cardiac level The fissures Selected abnormalities visible on chest CT scans Pulmonary thromboembolic disease Chronic obstructive
pulmonary disease Blebs and bulae, cysts and cavities Bronchiectasis Chest trauma Pericardial effusion Cardiac CT
15.
Recognizing the Normal Abdomen: Conventional Radiographs
Recognizing the normal abdomen – what to look for Recognizing
the normal abdomen – normal bowel gas pattern Recognizing the normal abdomen – normal fluid levels Differentiating large from small
bowel Acute abdominal series – the views and what they show Recognizing the normal abdomen – extraluminal air Recognizing the
normal abdomen – calcifications Recognizing the normal abdomen – organomegaly
16. Recognizing Bowel Obstruction
and Ileus Abnormal gas patterns
Laws of the gut Functional ileus – localized – sentinal loops Functional ileus – generalized adynamic ileus Mechanical obstruction – small bowel obstruction (SBO) Mechanical obstruction – large bowel obstruction
(LBO) Intestinal psuedo-obstruction (Ogilvie's syndrome)
17. Recognizing Extraluminal Gas in the Abdomen
Signs
of free intraperitoneal air Air beneath the diaphragm Visualization of both sides of the bowel wall Visualization of the falciform
ligament Causes of free air Signs of extraperitoneal air (retroperitoneal air) Causes of extraperitoneal air Signs of air
in the bowel wall Causes and significance of air in the bowel wall Signs of air in the biliary system Causes of air in the biliary
system
18. Recognizing Abnormal Calcifications and Their Causes
Patterns of calcification Rimlike
calcification Linear or track-like calcification Lamellar or laminar calcification Cloudlike, amorphous, or "popcorn" calcification Location
of calcification
19. Recognizing Tumors, Tics, and Ulcers: Radiology of the Gastrointestinal Tract
Recognizing
abnormalities of the GI tract from top to bottom Esophagus Hiatal hernia and gastroesophageal reflux (GERD) Stomach and duodenum Small
bowel Large bowel Terminology Common principles for all gastrointestinal barium studies
20. Recognizing
the Basics on CT of the Abdomen
General considerations Liver Biliary system Spleen Kidneys Pancreas Small
and large bowel Female pelvis Urinary bladder Abdominal aortic aneurysms Adenopathy
21. Recognizing Abnormalities
of Bone Density
Normal bone anatomy The effect of bone physiology on bone anatomy Recognizing a generalized increase
in bone density Recognizing a focal increase in bone density Recognizing a generalized decrease in bone density Recognizing
a focal decrease in bone density Pathologic fractures
22. Recognizing Fractures and Dislocations
Recognizing
an acute fracture Recognizing dislocations and subluxations Describing fractures Avulsion fractures Salter-Harris fractures – epiphyseal plate fractures in children Stress fractures Common fracture eponyms Some easily missed fractures or dislocations Fracture
healing
23. Recognizing Joint Disease: An Approach to Arthritis
Classification of arthritis Anatomy
of a joint Hypertrophic arthritis Infectious arthritis Erosive arthritis
24. Recognizing Some Common Causes
of Neck and Back Pain
Conventional radiography, CT, and MRI The normal spine Back pain Herniated discs Degenerative
disc disease (DDD) Osteoarthritis of the facet joints Diffuse idiopathic skeletal hyperostosis (DISH) Compression fractures
of the spine Spondylolesthesis and spondylolysis Spinal stenosis Spinal trauma Malignancy involving the spine
25.
Recognizing Abnormal Head CT Findings
Normal anatomy and general considerations Head trauma Increased intracranial
pressure Stroke Ruptured aneurysms Hydrocephalus Brain tumors Other diseases Terminology