Chest Radiology: The Essentials

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Author: Jannette Collins
Published: September 1999
Publisher: Lippincott Williams & Wilkins
ISBN: 0781715822
Hardcover Book
Number of Pages: 284

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Chest Radiology: The Essentials

Chest Radiology: The Essentials is based on Dr. Collins's award-winning syllabus for the chest radiology course she teaches at the University of Wisconsin. The book explains the use of all current imaging modalities, with particular emphasis on the interpretation of chest radiographs.Coverage begins with an illustrated discussion of normal radiographic anatomy and proceeds to imaging techniques and radiographic manifestations of a wide variety of diseases. Numerous summary tables and over 700 illustrations complement the text. This is a basic, concise textbook of thoracic imaging based on a 16-hour course presented through the University of Wisconsin Radiology residency, which follows a pattern approach to thoracic disease recognition. The intention is to stimulate interest in further in-depth reading on the covered topics in reference textbooks and journals. The authors also suggest it can be used as a review text prior to the American Board of Radiology oral examination. This is a self-described foundation text primarily aimed at first year radiology residents and pulmonary, internal medicine, and family practice physicians seeking basic knowledge and expertise in radiographic interpretation. It is unfortunate that there is no mention of radiographic technique and positioning. Overall, the images are of a reasonable quality; however, line diagrams may be more appropriate for representation of the variant accessories fissures, which are not well seen on the examples given, and which do not include an example of the azygous fissure. Perhaps the authors could make better use of available space to include more images and text. Specifically the section on normal anatomy would benefit from further expansion on mediastinal lines and stripes which are of greater importance than recognition of accessory fissures. While some chapters are organized by anatomy [9, 10, 13] and some by radiographic signs [2, 11, 14], some topics appear to be covered unevenly. There is relatively little explanation of the mechanisms of pulmonary arterial hypertension, and there is no definition of what constitutes enlarged central pulmonary arteries. There also seems to be confusion within the text between Eisen-Menger reaction andEisen-Menger syndrome. It is not clear why emphysema is not mentioned in the chapter on upper lobe disease, and why it is included in the section on airways disease with disproportionate emphasis and text on diffuse pan-bronchiolitis compared to the much more common Alpha- 1 antitrypsin deficiency. There is no mention of bronchiectasis occurring with Alpha-1 deficiency-related emphysema and the reader is not referred to the only CT example of early centrilobular emphysema seen in figure 15-4-D and the chapter on lung neoplasm. Widespread use is made of mnemonics, however, the lists on which these are based are limited. Authors do not seem to separate the radiographic findings of emphysema and hyperinflation, and although the observation of early calcification on CT is mentioned, no example is provided, nor is the significance of this observation documented. The example of the tree-in-bud pattern, figure 13-15 could be improved upon, and in the section on references in Chapter 2, references 6, 15, and 18 are listed as ""deleted in proofs."" Similarly, the section on centripulmonary nodule evaluation should, even in an introductory text, have been expanded somewhat in the role of contrast enhanced CT and PET scanning. An attraction of the book is the self-assessment chapter. The principal competing text would appear to be the text edited by McLoud, Thoracic Radiology: The Requisites (Mosby -Year Book, Inc., 1998) which, although slightly more expensive, would appear to represent a greater value even though it does not contain a self-assessment chapter. Radiologists Collins (U. of Wisconsin-Madison) and Stern (U. of Washington-Seattle) offer a guide for physicians who want to learn to interpret radiographic images of the chest quickly and accurately, and an introduction that radiology residents can read easily during the first month of chest radiology rotation to get a grasp of the fundamentals. Their treatment can also be used to study for the American Board of Radiology oral examination. They seek to avoid being too dogmatic in prescribing protocols that are now in rapid evolution. JANNETTE COLLINS, MD, MED, Associate Professor and Associate Vice Chair of Education, Department of Radiology, Adjunct Professor of Medicine, University of Wisconsin Medical School, Madison
ERIC J. STERN, MD, Associate Professor of Radiology and Medicine, Department of Radiology, University of Washington; and Director, Thoracic Imaging, Department of Radiology, Haborview Medical Center, Seattle Collins, Jannette, MD, MEd (Univ of Wisconsin-Madison); Stern, Eric J., MD (Univ of Washington)

Table of Contents
Foreword by Nestor Müller, M.D.,PH.D.
Preface
Acknowledgments

1 Normal Anatomy of the Chest
2 Signs in Chest Radiology
3 Interstitial Lung Disease
4 Alveolar Lung Disease
5 Monitoring and Support Devices-"Tubes and Lines"
6 Mediastinal Masses
7 Solitary and Multiple Pulmonary Nodules
8 Acute Chest Trauma
9 Chest Wall, Pleura, and Diaphragm
10 Upper Lung Zone Disease
11 Atelectasis
12 Peripheral Lung Disease
13 Airways
14 Unilateral Hyperlucent Lung
15 Neoplasms of the Lung
16 Immunocompromised Patient
17 Cardiac and Congenital Lung Disease
18 Self-Assessment Review

Subject Index

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