Dedicated to lifelong learning of cardiothoracic radiologists & other health professionals & to the advancement of care through radiology & allied disciplines.
Review of acute aortic disease from Dr. Jane Ko’s talk at
#STR2021
. Curated by
@Ftamizuddin
.
Acute aortic syndromes on imaging:
• acute aortic dissection (typically type A)
• acute intramural hematoma (IMH)
• penetrating atherosclerotic ulcer
[1/5]
#radres
#Radtwitter
Chest radiologists
@JeffreyKanneMD
& Michael Chung, authors of several recent manuscripts on
#COVID19
, present a COVID-19 Update for Radiologists at
#thoracicrad2020
on 3/10/2020.
Video Link:
Chest CT can be useful for identifying lung infection as a cause of febrile neutropenia & might limit the differential diagnosis of infection cause.
Dr. Jeffrey Kanne from
@UWiscRadiology
takes
#STR2023
on a great review of chest imaging in the setting of febrile neutropenia.
Hope you enjoyed this year's live tweets! They represented only a small % of all the superb content from
#STR2021
.
We've assembled these live tweets into a single PPT file you can download:
Each infograph's tweet text is included as a "presenter note".
51 year old woman with lupus, rheumatoid arthritis, and progressive shortness of breath…
CXR:
Narrowing of tracheal air column
CT:
Tracheal wall thickening that spares posterior membrane with associated airway stenosis
Do you feel a slight twinge of dread the moment you just realized you're reading a CT with a post-op aortic arch?
Have no fear! Dr. Tami Bang has assembled a nice overview of post-op aortic arch imaging, including a concise review of surgical approaches.
#STR2021
@CURadiology
STR COVID-19 Position Statement
At this time, STR does not recommend routine CT screening for diagnosis of patients under investigation for
#COVID19
. CT can be restricted to pts who test positive for COVID19 & suspected of having complicating features such as abscess or empyema.
Members of the Fleischner Society have compiled and just released an updated Glossary of Terms for Thoracic Imaging that replaces previous glossaries published in 1984, 1996, and 2008.
Distribution can help distinguish between different types of cystic lung disease… from
@ElsieRadiology
's ILD talk at the
#STR2021
Resident Bootcamp.
#radres
Lung cancer is 5x more common in patients with interstitial lung disease than in the general population. Some important take-away points… [1/4]
Condensed by
@FCalleMD
from
@F_Fintelmann_MD
’s great talk during
#STR2021
.
Improve your interpretation of nonspecific chest imaging findings thru a better understanding of how ventilation, perfusion, lymphatic drainage & mechanical stress
vary throughout the lungs. [1/6]
Condensed by
@marcosmestas
from
@farouk_dako
’s great talk during
#STR2021
.
Do you need a strategy for identifying common patterns of diffuse lung disease on CXR and their differential diagnoses?
Dr. Arlene Sirajuddin from
@NIHRadiology
shares her approach at
#STR2022
.
Up your confidence with the CT features & reporting of
#COVID19
pneumonia in under 30 minutes using this great learning module created by Drs. Daniel Dipietro &
@ScottSsimpson80
at
@PennRadiology
.
December 2020 Thoracic Case of the Month:
57 year old female with dyspnea… presented by Drs. Ross P. Frederick & Michael B. Gotway from
@MayoRadiology
Arizona.
Dr. Jane Ko reviews acute aortic syndromes & the challenges/pitfalls radiologists may encounter when interpreting thoracic CTA's, such as the commonly asked question in the reading room:
"Is this an ulcerated plaque or a penetrating atherosclerotic ulcer"?
#STR2021
@NYURadRes
September Twitter Case submitted by
@MaximilianoKlug
:
59 year-old asthmatic man arrives to the ED with shortness of breath, fever, wheezing and productive cough. CBC analysis showed eosinophilia.
Hi
#RadRes
! Interested in brushing up your on call CXR & chest CT skills for:
• acutely ill patients?
• MVA patients?
• patients with chest pain?
• cardiovascular imaging?
Watch all of STR's 2020 Resident Bootcamp lectures online now at:
Dr. Christopher Walker from
@KUMedCenter
discusses radiation-associated risks from medical imaging during our
#STR2023
Resident Bootcamp.
If an average American receives ≈3.0-4.5 mSv of naturally occurring radiation every year, how do different imaging studies compare?
Dr. Scott Simpson, lead author of the
@RSNA
Consensus Statement on Reporting CT Findings related to
#COVID19
endorsed by STR &
@RadiologyACR
, discusses the imaging findings & considerations when reporting COVID.
Video:
Manuscript:
Congratulations to our
#STR2023
Best Resident/Fellow Scientific Oral Presentation winner:
Jessie Kang, MD
University of Ottawa
“CT Chest Findings of Marijuana Smokers: A Prospective Study”
Words matter.
As radiologists, we try to use language that's as respectful, free of stigma, inclusive, and equitable as possible. Check out these 3 tips from the International Association for the Study of Lung Cancer (IASLC)…
#DEI
#lungcancer
Link:
60 yo man with h/o multiple myeloma p/w hemoptysis…
CXR:
Many lung nodules w/ basilar predominance; many at least partially calcified
CT:
Many lung nodules, many centrally or completely calcified, some located centrally within cysts; also bronchial wall thickening & dilation
Dr. James Gruden from
@UNCRadiology
discusses the diagnosis of UIP/IPF at
#STR2024
, including a Modified UIP Diagnostic Criteria that offers better interobserver agreement, reduces false positive diagnoses of UIP, improves distinction of UIP from other entities, enables earlier
STR-ASER
#COVID19
Position: At this time, STR & ASER do not recommend routine CT screening for diagnosis of patients under investigation for
#COVID19
. Chest CT can be restricted to patients who test positive & are suspected of complications such as abscess or empyema
@thoracicrad
Hey
#radres
! Wish you felt more comfortable tackling the mediastinum and interstitial lung disease?
Be sure to check out the 3rd Annual STR Resident Bootcamp on Saturday, March 6 (all times Eastern). It's free for all trainees!
#STR2021
September Twitter Case submitted by
@DanielVargasMD
:
51 year old woman with chronic dry cough and midline chest pressure. SOB worsens when supine. Difficulty swallowing food. No constitutional symptoms.
At
#STR2022
,
@radsroc
discusses how the diagnostic probability of hypersensitivity pneumonitis (HP) is established by integrating HRCT confidence of HP + clinical evidence of antigen exposure.
Here's how to determine your confidence of non-fibrotic and fibrotic HP on HRCT.
20 yo F with w/ asthma & recently attempted to quit tobacco smoking p/w cough, dyspnea, chest pain & fever…
Case contributed by Prasad Panse MD,
@YasmeenButtMD
, Fiona Feller MD & Michael Gotway from
@MayoRadiologyAZ
.
September 2020 Thoracic Case of the Month:
Asymptomatic 15-year-old boy presented for evaluation of a thoracic finding on prior scoliosis radiograph. History of nevus lipomatosis… presented by Drs. Neel Patel & Katharine Hopkins from
@OHSURadiology
.
Dr. Ariadne DeSimone
@AriadneDeSimone
from
@BrighamRad
reviews the pitfalls you may encounter when interpreting CT pulmonary angiograms, and how to troubleshoot them at
#STR2024
.
Dr. Christopher Walker discusses:
· imaging clues for identifying abnormal intrathoracic lymph nodes
· the relationship of thoracic duct anatomy with lymph node metastases
· specific patterns of lymphatic metastases to the chest from extra-thoracic malignancies
at
#STR2023
.
How familiar are you with: (1) pulmonary complications of chronic liver disease and (2) diseases that can affect the lungs & liver?
@ShaunaghMcD
of
@MGHImaging
@MGH_RI
provides an outstanding summary during
#STR2022
.
50 year-old male presents with cough and fever…
CT:
• left lower lobe opacity containing multiple air fluid levels
• artery arising from aorta and supplying the left lower lobe
Dr. Joseph Mansour
@jmanso88
from
@IURadiology
provides a nice review of the imaging manifestations of pulmonary blastomycosis at
#STR2023
!
Some take home points:
Need tips for pulmonary arterial disorders besides acute PE, like…
• chronic PE?
• non-thrombotic PE?
• PA vasculitis?
• PA aneurysms?
• 1° pulmonary arterial tumors?
Dr. Anna Bader from
@YaleRadiology
has the answers in "The Pulmonary Artery: Beyond Emboli" at
#STR2022
.
63 year-old man s/p T12-L4 spinal fusion for L2 burst fracture secondary to motorcycle accident, now presenting with pleuritic chest pain & shortness of breath…
CXR:
New left upper lobe lucency, relative to 6 days prior
CT:
Filling deficits in pulmonary arteries bilaterally
Dr. Stacy Kim from
@MIRimaging
reviews Paraneoplastic Syndromes in the chest at
#STR2024
.
Paraneoplastic syndromes are:
• constellations of symptoms & signs caused by a neoplasm due to tumor-produced substances or tumor-directed antibodies
• not due to mass effect, invasion,