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Radiology

Pulmonary Neoplasms and Neoplastic-like Conditions

Built from Fundamentals of Diagnostic Radiology

The first 25 slides of Pulmonary Neoplasms and Neoplastic-like Conditions
The first 25 slides, exactly as they appear. The full deck has 146 content slides.

What’s inside

7 sections · 146 slides

  1. 01

    Overview

    • Pulmonary neoplasms at a glance

    1 slide

  2. 02

    The Solitary Pulmonary Nodule

    How one focal spot in the lung is judged benign, malignant, or indeterminate

    • Definition and scope of the SPN
    • Localizing the opacity
    • Comparing with prior radiographs
    • Categorizing a lung nodule
    • Clinical factors set the odds
    • Growth rate: the doubling time
    • Exceptions to the growth rule
    • 180 days
    • Size
    • Margins: smooth, lobulated, spiculated
    • Edge characteristics of solitary pulmonary nodules
    • Pleural tail and satellite nodules
    • Pleural tail from a lung adenocarcinoma
    • Vessels, halo, and comet tail
    • Arteriovenous malformation with feeding vessels
    • Density: the key benign clue
    • Five benign calcification patterns
    • Patterns of benign nodule calcification
    • Fat inside a nodule
    • Fat within a pulmonary hamartoma
    • Subsolid nodules
    • Cystic and bubbly appearances
    • Cystic adenocarcinoma
    • Bubbly lucencies in an adenocarcinoma
    • Contrast-enhanced CT
    • CT nodule enhancement study
    • PET with FDG
    • PET evaluation of a solitary pulmonary nodule
    • Management: the guidelines
    • Fleischner 2017 guidance: solid lung nodules
    • Fleischner guidance: subsolid lung nodules
    • Lung-RADS reporting categories (1 of 4)
    • Lung-RADS reporting categories (2 of 4)
    • Lung-RADS reporting categories (3 of 4)
    • Lung-RADS reporting categories (4 of 4)
    • Indications for biopsy
    • Follow-up of a benign nodule

    37 slides

  3. 03

    Lesions Presenting as SPNs

    Benign and borderline masses that can look like a lung nodule

    • Differential diagnosis of an SPN
    • Differential diagnosis of a solitary pulmonary nodule (1 of 2)
    • Differential diagnosis of a solitary pulmonary nodule (2 of 2)
    • Carcinoid tumor as an SPN
    • Pulmonary hamartoma
    • Popcorn calcification in hamartoma
    • Non-Hodgkin lymphoma of the lung
    • Lymphoma as a solitary pulmonary mass
    • Sclerosing pneumocytoma and inflammatory pseudotumor
    • Lipoid pneumonia
    • Bronchogenic cyst and infected bulla
    • Focal organizing pneumonia
    • Focal organizing pneumonia as a subsolid lesion
    • Traumatic lung cyst and hematoma

    14 slides

  4. 04

    Lung Tumors and Lung Cancer

    The WHO classification, the four carcinoma subtypes, and how cancer is staged

    • World Health Organization classification
    • WHO classification of primary lung tumors
    • Lung cancer basics
    • Four main carcinoma subtypes
    • Subtype shares and features
    • Common subtypes of lung carcinoma
    • CT appearances of the carcinoma subtypes
    • Adenocarcinoma
    • Adenocarcinoma: ground glass and lepidic growth
    • Premalignant lesions and adenocarcinoma (1 of 7)
    • Premalignant lesions and adenocarcinoma (2 of 7)
    • Premalignant lesions and adenocarcinoma (3 of 7)
    • Premalignant lesions and adenocarcinoma (4 of 7)
    • Premalignant lesions and adenocarcinoma (5 of 7)
    • Premalignant lesions and adenocarcinoma (6 of 7)
    • Premalignant lesions and adenocarcinoma (7 of 7)
    • Squamous cell carcinoma
    • Small cell carcinoma
    • Large cell and neuroendocrine tumors
    • Epidemiology: who gets lung cancer
    • Other risk factors
    • Radiographic findings: nodule and hilar mass
    • Obstruction: atelectasis and drowned lung
    • Hilar mass from squamous cell carcinoma
    • Atelectasis clues to obstruction
    • Mucoid impaction
    • Peripheral nodule signs
    • Cavitation and eccentric calcium
    • Pancoast (superior sulcus) tumor
    • Superior sulcus (Pancoast) tumor
    • Mucinous adenocarcinoma and airspace disease
    • SVC syndrome and malignant effusion
    • Superior vena cava syndrome
    • Malignant pleural involvement
    • Mechanism of lymphangitic carcinomatosis
    • Lymphangitic carcinomatosis from lung cancer
    • Lymphangitic carcinomatosis from lung cancer
    • Screening with low-dose CT
    • Diagnostic evaluation
    • Staging: TNM overview
    • Resectable versus unresectable
    • T: the primary tumor
    • TNM classification, eighth edition (1 of 2)
    • TNM classification, eighth edition (2 of 2)
    • Chest wall invasion
    • Mediastinal and airway invasion
    • Tracheal involvement by non-small cell carcinoma
    • Pleural and pericardial effusion
    • N: lymph node spread
    • IASLC lymph node zones for staging
    • Lymph node metastases in lung cancer
    • Node size and accuracy
    • M: distant spread
    • Staging groups and five-year survival
    • Adrenal lesions during staging
    • Adrenal metastasis from lung cancer

    56 slides

  5. 05

    Nonepithelial Lung Tumors

    Lymphoma, leukemia, Kaposi sarcoma, and rare lung tumors

    • Lymphoma in the lung
    • T-cell lymphoma involving the lungs
    • Lymphomatoid granulomatosis
    • Follicular bronchiolitis and LIP
    • Lymphocytic interstitial pneumonitis
    • Posttransplant lymphoproliferative disorder
    • Posttransplant lymphoproliferative disorder
    • Leukemia in the lung
    • Kaposi sarcoma
    • Pulmonary blastoma and DIPNECH
    • Pulmonary blastoma

    11 slides

  6. 06

    Tracheal and Bronchial Masses

    Rare airway tumors and how they are recognized

    • Tracheal neoplasms overview
    • Squamous cell carcinoma of the trachea
    • Squamous cell carcinoma of the trachea
    • Adenoid cystic carcinoma
    • Adenoid cystic carcinoma of the trachea
    • Other tracheal malignancies
    • Benign tracheal tumors
    • Granular cell tumor of the lung
    • Nonneoplastic intratracheal masses
    • Central bronchial tumors
    • Carcinoid tumor
    • The neuroendocrine tumor spectrum
    • Carcinoid on imaging
    • Carcinoid tumor of the left upper lobe bronchus
    • Carcinoid staging and prognosis
    • Endobronchial hamartoma

    16 slides

  7. 07

    Metastatic Disease to the Thorax

    How outside cancers reach and appear in the lung

    • Routes of spread to the lung
    • Route of hematogenous metastasis
    • Pulmonary nodules from metastases
    • Nodular pulmonary metastases
    • Solitary metastasis
    • Lymphangitic carcinomatosis from outside
    • Pulmonary arterial tumor emboli
    • Key takeaways
    • Suggested readings
    • Suggested readings
    • Brant and Helms' Fundamentals of Diagnostic Radiology

    11 slides