Thoracic Imaging Archive
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Thoracic Imaging Archive

A chest-imaging teaching collection published weekly at this address: each case gives a patient history, poses a diagnostic question and then works through the imaging findings, the diagnosis, a differential and a discussion with references.

The collection went offline when the site was retired. It is reproduced here as an archive, at the addresses the cases originally occupied. The work is that of its authors at Virginia Commonwealth University and is attributed to them on every case. More about this archive.

134 cases

  1. Rounded Atelectasis May 29-Jun 5, 2009
  2. Left Upper Lobe Collapse Jun 4-Jun 11, 2009
  3. Acute Pulmonary Embolism with Peripheral Infarct Jun 10-Jun 17, 2009
  4. Hepatopulmonary syndrome Jun 16-Jun 23, 2009
  5. Empyema Thoracis Jun 25-Jul 2, 2009
  6. Elastofibroma dorsi Jul 2-Jul 9, 2009
  7. Tracheobronchomegaly (Mounier-Kuhn Syndrome) Jul 9-Jul 16, 2009
  8. Acute traumatic rupture left diaphragm Jul 16-Jul 23, 2009
  9. Multiple myeloma with expansile rib lesions Jul 23-Jul 30, 2009
  10. Left Ventricular Aneurysm Jul 30-Aug 6, 2009
  11. Left paraspinal mass-metastatic carcinosarcoma to the thoracic spine Aug 13-Aug 20, 2009
  12. Pulmonary Alveolar Proteinosis Aug 20-Aug 27, 2009
  13. Klebsiella pneumonia (aka Friedländer’s pneumonia) Aug 27-Sep 3, 2009
  14. Exogenous Lipoid Pneumonia Sep 3-Sep 10, 2009
  15. Intrathoracic Splenosis Sep 10-Sep 17, 2009
  16. Primary cavitary adenocarcinoma (poorly differentiated) of the lung Sep 17-Sep 24, 2009
  17. Type III ductus diverticulum Sep 24-Oct 1, 2009
  18. Intralobar pulmonary sequestration Oct 1-Oct 8, 2009
  19. Hiatus Hernia Oct 8-Oct 15, 2009
  20. Right atrial myxoma Oct 15-Oct 22, 2009
  21. Stage 4 Sarcoidosis Oct 22-Oct 29, 2009
  22. Subacute Hypersensitivity Pneumonitis (bird fancier’s lung) Oct 29-Nov 5, 2009
  23. Nummular sarcoidosis Nov 12-Nov 19, 2009
  24. Complicated right upper lobe atelectasis Nov 25-Dec 2, 2009
  25. Stanford type A intramural hematoma complicated by overt dissection Dec 3-Dec 10, 2009
  26. Large partially obstructing esophageal epiphrenic diverticulum Dec 10-Dec 17, 2009
  27. Usual Interstitial Pneumonia; Aka cryptogenic fibrosing alveolitis Dec 17-Dec 24, 2009
  28. Pancoast tumor (also known as superior sulcus tumor) Dec 24-Dec 31, 2009
  29. Remote thoracoplasty Dec 31-Jan 7, 2010
  30. Methicillin-resistant staphylococcus aureus bacterial endocarditis Jan 7-Jan 14, 2010
  31. Tracheal stenosis; post-intubation (tracheostomy) injury Jan 14-Jan 21, 2010
  32. Extramedullary hematopoiesis Jan 21-Jan 28, 2010
  33. Wegener granulomatosis (pulmonary vasculitis) Jan 28-Feb 4, 2010
  34. Traumatic Right Pneumothorax; “Deep Sulcus” Sign Feb 8-Feb 15, 2010
  35. Primary lung cancer Feb 16-Feb 23, 2010
  36. Swyer-James (MacLeod) syndrome Feb 25-Mar 4, 2010
  37. Spontaneous pneumomediastinum complicating graft-versus-host disease Mar 4-Mar 11, 2010
  38. Constrictive Pericarditis Mar 11-Mar 18, 2010
  39. Uncomplicated Right Upper Lobe Collapse; Mucus Plug Mar 18-Mar 25, 2010
  40. Patent Ductus Arteriosus Mar 25-Apr 1, 2010
  41. Acute Pulmonary Thromboembolic Disease; Right Heart Strain Apr 1-Apr 8, 2010
  42. Non-compaction of the myocardium Apr 8-Apr 15, 2010
  43. Combined Right Middle and Lower Lobe Atelectasis; Esophageal Achalasia Apr 15-Apr 22, 2010
  44. Right Subpulmonic Pleural Effusion Apr 22-Apr 29, 2010
  45. Primary or idiopathic achalasia Apr 29-May 6, 2010
  46. Pulmonic Stenosis; “Hilum Overlay” and “Hilum Convergence” Sign May 6-May 13, 2010
  47. Bronchioloalveolar Carcinoma (BAC) May 13-May 20, 2010
  48. Post-Primary Mycobacterium tuberculosis May 21-May 28, 2010
  49. Pulmonary Langerhans’ Cell Histiocytosis (PLCH) May 27-Jun 3, 2010
  50. Viral myocarditis (adenovirus) Jun 4-Jun 11, 2010
  51. Takayasu Arteritis Jun 11-Jun 18, 2010
  52. Pericardial Effusion Jun 18-Jun 25, 2010
  53. Circulatory Assist Device: Malpositioned Intra-aortic Balloon Pump Jun 25-Jul 2, 2010
  54. Congenital bronchial atresia lateral basal segment Jul 2-Jul 9, 2010
  55. Total Artificial Heart (TAH) implantation Jul 9-Jul 16, 2010
  56. Amiodarone Pulmonary Toxicity Jul 16-Jul 23, 2010
  57. Aortic Coarctation Jul 23-Jul 30, 2010
  58. Asbestos-Related Pleural Plaques Jul 30-Aug 6, 2010
  59. Septic Pulmonary Emboli; Persistent Left-sided SVC Aug 6-Aug 13, 2010
  60. Interlobar Pseudotumor; Cardiac Decompensation Aug 13-Aug 20, 2010
  61. Atrial Septal Aneurysm; Type 5 Aug 20-Aug 27, 2010
  62. Acute Left Glenohumeral Fracture-Dislocation Sep 3-Sep 10, 2010
  63. Prominent Right 3rd Intercostal-Bronchial Artery Trunk Aug 30-Sep 6, 2010
  64. Morgagni-Type Defect with Herniation of Peritoneal Dialysate Sep 10-Sep 17, 2010
  65. Acute Post-Traumatic Aortic Injury (ATAI) with Pseudoaneurysm Sep 17-Sep 24, 2010
  66. Severe Right Ventricular Hypertrophy Sep 24-Oct 1, 2010
  67. Giant Bullous Emphysema (Vanishing Lung Syndrome) Oct 1-Oct 8, 2010
  68. Pulmonary Arteriovenous Malformation Oct 8-Oct 15, 2010
  69. Antecedent Surgical Repair Post-Ductal Coarctation Oct 15-Oct 22, 2010
  70. Viral Myocarditis Oct 22-Oct 29, 2010
  71. Scimitar Syndrome Oct 29-Nov 5, 2010
  72. Persistent Left Superior Vena Cava (PLSVC) Nov 5-Nov 12, 2010
  73. Massive Type IV Paraesophageal Hernia and Gastric Volvulus Nov 12-Nov 19, 2010
  74. Calcified Tuberculous Cervical Lymphadenitis (Scrofula) Nov 19-Nov 26, 2010
  75. Extramedullary Hematopoiesis Dec 3-Dec 10, 2010
  76. Accessory Cardiac Bronchus Dec 10-Dec 17, 2010
  77. Metallic Mercury Embolism December 17-December 24, 2010
  78. Anomalous Origin Left Coronary Artery with Inter-arterial Course December 23-December 30, 2010
  79. Pulmonic Stenosis Jan 7-Jan 14, 2011
  80. Acute Transmural Myocardial Infarction with No-Reflow Zone Jan 14-Jan 21, 2011
  81. T2a N0 M0 Stage IB Adenocarcinoma of the Lung Mar 4-Mar 11, 2011
  82. Esophageal Dilatation with “Air Esophogram Sign”; Achalasia Mar 25-Apr 1, 2011
  83. Cicatrization Atelectasis May 27-Jun 3, 2011
  84. Cardiac Fibroma June 28-July 5, 2012
  85. Type 1 Pulmonary Laceration January 14-January 21, 2015
  86. Left juxtaposition of the atrial appendage January 23-January 30, 2015
  87. Bronchopleural fistula and bronchial stump dehiscence February 13-February 20, 2015
  88. Archived case 176 March 5-March 12, 2015
  89. Esophageal Intubation April 1-April 8, 2015
  90. Malpositioned ICD Lead-Myocardial Perforation April 30-May 7, 2015
  91. Achalasia May 28-June 4, 2015
  92. Atypical ductus diverticulum July 22-July 29, 2015
  93. Diffuse Pulmonary Meningotheliomatosis July 30-August 6, 2015
  94. Impella® Circulatory Assist Device August 11-August 18, 2015
  95. Ascending Aortic Aneurysm related to Bicuspid Aortic Valve September 3-September 10, 2015
  96. PERIAORTIC GRAFT SEROMA September 10-September 17, 2015
  97. Acute dissection of the RCA September 16-September 23, 2015
  98. Archived case 186 September 30-October 7, 2015
  99. Asymmetric right upper lobe pulmonary edema November 23-November 30, 2015
  100. Esophageal endoscopic mucosal clips January 4-January 11, 2016
  101. Pericardial cyst (pathology proven) January 14-January 21, 2016
  102. Bochdalek Hernia January 29-February 5, 2016
  103. Incidental retained pulmonary arterial catheter February 4-February 11, 2016
  104. CardioMEMS™ PA Sensor February 11-February 18, 2016
  105. Pleural metastatic disease with malignant effusion February 19-February 26, 2016
  106. Esophageal Duplication Cyst February 26-March 4, 2016
  107. Fibrosing Mediastinitis March 4-March 11, 2016
  108. Archived case 200 April 6-April 13, 2016
  109. Follicular bronchiolitis April 29-May 6, 2016
  110. Branch vessel infundibulum mimicking acute traumatic aortic injury May 5-May 12, 2016
  111. Posterior Mediastinal mass May 17-May 24, 2016
  112. Allergic Bronchopulmonary Aspergillosis (ABPA) June 6-June 13, 2016
  113. Mitral stenosis June 23-June 30, 2016
  114. Mature Teratoma July 5-July 12, 2016
  115. Pseudoaneurysm of the saphenous vein graft July 18-July 25, 2016
  116. Archived case 208 August 8-August 15, 2016
  117. Calcified aneurysm at the left ventricular cardiac apex January 26-February 2, 2017
  118. IRIS-mediated progression of Kaposi’s Sarcoma February 13-February 20, 2017
  119. Pulmonary nocardiosis February 24-March 3, 2017
  120. Poland syndrome March 13-March 20, 2017
  121. Kinking of LVAD Outflow Conduit March 27-April 3, 2017
  122. Poland Syndrome April 11-April 18, 2017
  123. Primary Adenocarcinoma, bilateral April 24-May 1, 2017
  124. Inflammatory bowel disease associated pulmonary disease May 16-May 23, 2017
  125. Respicardia device in a patient with a history of sleep apnea June 14-June 21, 2017
  126. LungRADS 4A-Additional Testing June 29-July 6, 2017
  127. Epstein’s Anomaly July 19-July 26, 2017
  128. Achalasia July 31-August 7, 2017
  129. "Double density sign" of left atrial enlargement August 18-August 25, 2017
  130. Archived case 228 September 7-September 14, 2017
  131. Left retrocardiac 4 cm mass-like opacity December 5-December 12, 2019
  132. Intramural Hematoma May 29-June 5, 2020
  133. RB/DIP August 11-August 18, 2020
  134. Thoracic outlet syndrome August 24-August 31, 2020