chest imaging j. mark fulmer, md [email protected]

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CHEST IMAGING J. MARK FULMER, MD 972-523-4323 [email protected]

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Page 1: CHEST IMAGING J. MARK FULMER, MD 972-523-4323jmf@americanrad.com

CHEST IMAGING

J. MARK FULMER, MD

972-523-4323

[email protected]

Page 2: CHEST IMAGING J. MARK FULMER, MD 972-523-4323jmf@americanrad.com

CHEST IMAGING

DIAGNOSIS OF DISEASES OF THE CHEST IS A MULTI-DISCIPLINARY,

MULTI-MODALITYENDEAVOR

THE CHEST RADIOGRAPH IS THE MOST FREQUENTLY ORDERED

IMAGING PROCEDURE

Page 3: CHEST IMAGING J. MARK FULMER, MD 972-523-4323jmf@americanrad.com

CHEST IMAGING

CHEST RADIOGRAPHY

CHEST CT

MRI OF THE CHEST

CHEST SONO

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CHEST IMAGING

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CHEST IMAGING

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CHEST IMAGING

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CHEST IMAGING

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CHEST IMAGING

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CHEST IMAGING

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CHEST IMAGING

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CHEST IMAGING

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CHEST IMAGING

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CHEST IMAGING

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CHEST IMAGING

CHANGE IN DENSITY

CHANGE IN POSITION

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CHEST IMAGING

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CHEST IMAGING

INCREASED PULMONARY DENSITY

DECREASED PULMONARY DENSITY

MEDIASTINAL MASSES

NON-ANATOMIC STRUCTURES

Page 17: CHEST IMAGING J. MARK FULMER, MD 972-523-4323jmf@americanrad.com

CHEST IMAGING

BLOOD

PUS

EDEMA

PROTEIN

CELLS

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CHEST IMAGING

THE HALLMARK OF PULMONARY CONSOLIDATION/INFILTRATE

IS THE AIR BRONCHOGRAM

Page 19: CHEST IMAGING J. MARK FULMER, MD 972-523-4323jmf@americanrad.com

CHEST IMAGING

INCREASED PARENCHYMAL DENSITYWITH INTERNAL

BRANCHING BLACK SHADOWS

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AIR BRONCHOGRAM

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AIR BRONCHOGRAM

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PULMONARY CONSOLIDATION

BLOOD

PUS

EDEMA

PROTEIN

CELLS

Page 23: CHEST IMAGING J. MARK FULMER, MD 972-523-4323jmf@americanrad.com

PULMONARY CONSOLIDATION

PNEUMONIA

CONGESTIVE HEART FAILURE

VOLUME OVERLOAD

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PNEUMONIA

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PNEUMONIA

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PNEUMONIA

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PULMONARY CONSOLIDATION

BLOOD

PUS

EDEMA

PROTEIN

CELLS

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CONGESTIVE HEART FAILURE

CARDIOMEGALYUPPER LOBE VASCULAR CONGESTION

INDISTINCT HILAALVEOLAR FLUIDKERLY B LINES

PLEURAL EFFUSION

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CONGESTIVE HEART FAILURE

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CONGESTIVE HEART FAILURE

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CONGESTIVE HEART FAILURE

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PULMONARY EDEMA

BLAST INJURY

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PULMONARY EDEMA

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PULMONARY EDEMA

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PULMONARY EDEMA

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RADIOLOGIST

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INTERSTITIAL DENSITY

THE HALLMARK OF INTERSTITIAL DISEASE IS A RETICULNODULAR

PATTERN ON CHEST IMAGING

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INTERSTITIAL DENSITY

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INTERSTITIAL DENSITY

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ATELECTASIS

ATELETASIS MEANS AIRLESSNESS

BRONCHIAL OBSTRUCTION

TRACTION

COMPRESSION

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ATELECTASIS

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ATELECTASIS

INCREASED DENSITY

SHIFT OF NORMAL STRUCTURES

COMPENSATORY OVERINFLATION

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ATELECTASIS

WHY IS THE LUNG COLLAPSED?

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ATELECTASIS

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ATELECTASIS

“PLATELIKE ATELECTASIS”

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ATELECTASIS

“ROUNDED ATELECTASIS”

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DECREASED PULMONARY DENSITY

EMPHYSEMA

BULLAE

PNEUMOTHORAX

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DECREASED PULMONARY DENSITY

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DECREASED PULMONARY DENSITY

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DECREASED PULMONARY DENSITY

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DECREASED PULMONARY DENSITY

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PULMONARY MASS

PMS-CBC

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PULMONARY MASS

POSITION?MARGINATION?SIZE?CALCIFICATION?BRONCHGRAMS?CAVITATION?

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PULMONARY MASS

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PULMONARY MASS

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PULMONARY MASS

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PULMONARY MASS

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MORE THAN MEETS THE EYE

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MEDIASTINAL MASSES

ANTERIOR

MIDDLE

POSTERIOR

SUPERIOR

ANY

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MEDIASTINAL MASSES

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MEDIASTINAL MASSES

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MEDIASTINAL MASSES

ANTERIOR

THYMIC CYSTS AND TUMORS

TERATOMA

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MEDIASTINAL MASSES

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MEDIASTINAL MASSES

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MEDIASTINAL MASSES

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MEDIASTINAL MASSES

MIDDLE

FOREGUT CYSTS AND TUMORS

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MEDIASTINAL MASSES

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MEDIASTINAL MASSES

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MEDIASTINAL MASSES

POSTERIOR

NEUROGENIC CYSTS AND TUMORS

EXTRAMEDULLARY HEMATOPOESIS

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MEDIASTINAL MASSES

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MEDIASTINAL MASSES

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MEDIASTINAL MASSES

SUPERIOR

THYROIDPARATHYROIDHEMANGIOMALYMHANGIOMA

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MEDIASTINAL MASSES

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MEDIASTINAL MASSES

ANY

SUPERIORLYMPH NODESMETASTASISVASCULAR

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MEDIASTINAL MASSES

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MEDIASTINAL MASSES

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NON-ANATOMIC DEVICES

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NON-ANATOMIC DEVICES

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CHEST IMAGING

TRAUMA

CARDIAC IMAGING

CHEST ULTRASOUND

IMAGING GUIDED BIOPSY

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CHEST IMAGING

DIAGNOSIS OF DISEASES OF THE CHEST IS A FASCINATING

MULTI-DISCIPLINARY, MULTI-MODALITYENDEAVOR

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CHEST IMAGING