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Pathology
Respiratory system
44
Pathology
Not Applicable
05/14/2018

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Term
Cystic Fibrosis
Definition
A hereditary disease characterized by the secretion of excessively viscous mucus but all the exocrine glands

It is caused by a defective gene in the middle of chromosome 7

Most common clinically important genetic disorder among white children
Term
Imaging appearance of cystic fibrosis
Definition
Causes generalized irregular thickening of linear markings throughout the Longs that, when combined with the almost invariable hyper inflation, produces an appearance similar to that of severe chronic lung disease
Term
Hyaline membrane disease
Definition
A.k.a. idiopathic respiratory distress syndrome, one of the most common causes of respiratory distress in the newborn.
The progressive underaeration of the lungs results from a lack of surfactant and immature lungs.
Term
Imaging appearance of hyaline membrane disease
Definition
Finely granular appearance of the pulmonary parenchyma

Air bronchogram
Term
Croup
Definition
Primarily a viral infection of young children that produces inflammatory obstructive swelling localized to the subglottic portion of the trachea
Term
Imaging appearance of croup
Definition
Smooth tapered narrowing or hourglass shape of the sub glottic airway caused by the edema
Term
Epiglottitus
Definition
Acute infections of the epiglottis causing thickening of the epiglottic tissue and the surrounding pharyngeal structures
Term
Imaging appearance of epiglottitus
Definition
Seen on lateral projection of the neck using soft tissue techniques, a rounded thickening of the epiglottic shadow gives it The configuration in approximate size of an adults thumb
Term
Pneumonia
Definition
Inflammation of the lungs that can be caused by a variety of organisms, most commonly bacteria and viruses
Term
Subtypes of pneumonia
Definition
Alveolar
Broncho
Interstitial
Aspiration
Term
Alveolar pneumonia
Definition
Produced by an organism that causes an inflammatory exudate that replaces air in the alveoli so that the affected part of the lung is no longer air containing but rather appears solid or radiopaque
Term
Imaging appearance of Alveolar pneumonia
Definition
Consolidation of the lung parenchyma with little or no involvement of the airways produces the characteristic air bronchogram sign
Term
Broncho pneumonia
Definition
Inflammation. That originates in the bronchi or the bronchiolar Mucosa and spreads two adjacent alveoli
The inflammation tends to produce small patches of consolidation
Term
Imaging appearance a bronch pneumonia
Definition
The small patches of consolidation maybe seen radio graphically as a pick up Acacian’s that are scattered throughout the lungs but are separated by an abundance of air containing lung tissue
Term
Interstitial pneumonia
Definition
Most commonly produced by viral and mycoplasmal infections
Inflammation involves the walls and lining of the alveoli and the interstitial supporting structures of the lung, the alveoli septa
Term
Imaging appearance of interstitial pneumonia
Definition
Linear or reticular pattern
Term
Aspiration pneumonia
Definition
The aspiration of esophageal or gastric contents into the lung can lead to the development of pneumonia
Term
Imaging appearance of aspiration ammonia
Definition
Patchy opacification
Term
Tuberculosis
Definition
Caused by Mycobacterium tuberculosis, a rod shaped bacterium with a protective waxy coat that permits it to live outside the body for a long time
Term
Primary TB
Definition
-Lobar or segmental
-Hilar and mediastinal lymph nodes
-Parenchymal, hilar, and mediastinal nodes
-Pleural cavity
Term
Imaging appearance of primary TB
Definition
-Consolidation is homogenous, dance, and well-defined
-Hilar enlargement without parenchymal involvement
-demonstrates Ghon lesion
-Pleural effusion
Term
Military TB
Definition
Throughout lungs, and possible spread to other organs
Term
Imaging appearance of military TB
Definition
Innumerable Fine discrete nodules uniformly throughout the lungs
Term
Secondary TB
Definition
Upper lobes and posterior segment
Term
Imaging appearance of secondary TB
Definition
Extensive fibrotic changes with possible calcification
Term
COPD
Definition
Chronic obstructive pulmonary disease
-Chronic obstruction of the airways lead to an effective exchange of respiratory gases and makes breathing difficult
Term
Chronic bronchitis
Definition
Chronic inflammation of the bronchi leads to severe coughing with the production of sputum
-bronchi/bronchioles
-mucous gland hyperplasia
Term
Imaging appearance of chronic bronchitis’s
Definition
-No image change and 50%
-Increased bronchovascular markings
-Hyperinflation and depressed diaphragm
Term
Emphysema
Definition
Obstructive and destructive changes in small airways lead to a dramatic increase in the volume of air in the lungs
-Destroyed alveolar septa
Term
Imaging appearance of emphysema
Definition
-Pulmonary hyper inflation
- bulla formation
-Flattened diaphragm
-Radiolucent retrosternal space
Term
Asthma
Definition
Narrowing of the airways develops because of an increased responsiveness of the tracheobronchial tree to various stimuli (allergens)
-location bronchi
Term
Imaging appearance of asthma
Definition
-No evidence and less during acute attack
-Bronchial narrowing/hyperlucent lungs
-Excludes other processes
Term
Brochogenic Carcinoma
Definition
-Arises from the mucosa of the bronchial tree
-Location is lung parenchyma
Term
Imaging appearance of bronchogenic carcinoma
Definition
-Solitary lesion, ill defined
-atelectasis With obstruction
-Hilar enlargement
-Cavitation in upper lung
Term
Pulmonary embolism
Definition
-Most often located in lower lobes potentially fatal condition
Term
Imaging appearance of pulmonary embolism
Definition
-Seri images demonstrating progressive enlargement of the affected vessel
-CT Filling defect in the pulmonary artery
-Nuclear medicine ventilation study – lobar perfusion defect in one or more regions of the lung with normal ventilation
Term
Atelectasis
Definition
Refers to a condition in which there is diminished air with an along associated with reduced lung volume, most commonly this results from bronchial obstruction
Term
Imaging appearance of atelectasis
Definition
Local increased density; plate like streaks
Term
Adult respiratory distress syndrome
Definition
Lung structure break down, Describes a clinical picture of severe, unexpected, and life-threatening acute respiratory distress that develops in patients who have a variety of medical and surgical disorders but no major underlying lung disease
Term
Imaging appearance of adult respiratory distress syndrome
Definition
Patchy, ill defined areas of consolidation
Term
Pneumothorax
Definition
Presence of air in the pleural Cavity, results in a partial or complete collapse of the long
Term
Imaging appearance of pneumothorax
Definition
Peripheral radiolucency without pulmonary markings
Term
Pleural effusion
Definition
The accumulation of fluid in the plural space is a non-specific finding That may be caused by a wide variety of pathologic processes
Most common causes our congestive heart failure, pulmonary embolism, infection, pleurisy, neoplastic disease, and connective tissue disorders
Term
Imaging appearance of pleural effusion
Definition
Fluid level – best scene on lateral decubitus
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