radiology

Tension Pneumothorax

Here's an example of a large, right-sided tension pneumothorax (PTX). Disruption in the lung leads to a one-way valve where air fills the pleural space and expands the PTX during inspiration but cannot escape...

Air Bronchograms

In this portable x-ray of a patient with COVID-19 pneumonia, one can clearly see the right and left mainstem bronchi as well as more distal segments (arrows indicate several "air bronchograms"). This occurs because...

Situs Inversus Totalis

Situs inversus totalis is a rare (0.01% of the population) condition where patients have a mirror-image reversal of their internal chest and abdominal organs. For example, the heart is in the right chest, the...

Surgical Steps In HeartMate 3 LVAD Placement

Left ventricular assist devices (LVADs) like the HeartMate 3 are routinely being implanted as a mechanical circulatory bridge-to-transplant (BTT) or destination therapy (DT). My anesthetic plan for LVAD placement includes general endotracheal anesthesia, arterial...

Reading Chest X-Rays

Reading a chest x-ray (CXR) is an incredibly important aspect of acute care medicine and a skill that all healthcare providers should at least have some comfort in doing. The key for interpreting any radiographic...

Secondary Pulmonary Lobule

High resolution computed tomography (HRCT) scans provide an extraordinary amount of information to practitioners. In fact, many findings on HRCT have terms which are incorrectly used for ordinary CT scans (honeycombing, tree-in-bud appearance, ground...

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