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Chest Imaging Terms

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Cavitation

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The presence of a gas-filled space within a consolidation, a mass, or a nodule, often indicating necrosis or infection.

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Lymphadenopathy

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Enlargement of lymph nodes that can be detected on chest imaging and may suggest infection, inflammation, or malignancy.

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Pleural Effusion

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Abnormal accumulation of fluid in the pleural cavity. Indicates various conditions including infection, heart failure, or malignancy.

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Nodule

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A small, rounded opacification less than 3 cm in diameter. Often found incidentally and may require follow-up to exclude cancer.

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Kerley B Lines

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Short horizontal lines near the periphery of the lung on chest X-ray indicating interstitial pulmonary edema.

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Honeycombing

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A pattern of interstitial lung disease with cystic air spaces typically seen in the periphery of the lungs and is characteristic of advanced fibrosis.

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Interstitial Pattern

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A radiographic appearance indicating involvement of the lung interstitium by various diseases, including fibrosis and interstitial pneumonia.

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Mediastinal Widening

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An abnormal enlargement of the mediastinum which can be indicative of trauma, aneurysm, or neoplasm.

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Pleural Thickening

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Fibrosis of the pleura usually due to previous inflammation or exposure to asbestos. Seen as a thickened pleural line on imaging studies.

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Ground-Glass Opacity

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A finding on CT imaging with increased attenuation but preservation of bronchial and vascular markings. Can be due to inflammation, edema, or fibrosis.

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Silhouette Sign

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Loss of the normal borders between thoracic structures on X-ray, often indicating a pathology that obscures the air-filled lung, such as consolidation.

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Subpleural Nodularity

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The presence of nodules adjacent to the pleura, which can be secondary to infections like tuberculosis, metastatic disease, or rheumatoid arthritis.

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Miliary Pattern

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A radiographic pattern with numerous small nodular densities throughout the lungs, resembling millet seeds. Often seen in disseminated tuberculosis or hematogenous metastases.

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Bronchiectasis

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Chronic dilation and distortion of the bronchi, typically due to recurrent inflammation or infection, visible on imaging as enlarged airways.

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Atelectasis

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Collapse of lung tissue leading to reduced or absent gas exchange. It may indicate underlying disease or post-surgical status.

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Emphysema

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A chronic obstructive pulmonary disease with abnormal, permanent enlargement of air spaces distal to the terminal bronchioles and destruction of alveolar walls seen as areas of decreased attenuation on imaging.

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Lobular Consolidation

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Consolidation confined to a single pulmonary lobe, often due to pneumonia or obstructing mass causing post-obstructive pneumonia.

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Pneumothorax

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The presence of air in the pleural space causing lung collapse. Can be spontaneous, traumatic, or iatrogenic.

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Tree-in-bud

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A pattern seen on CT of the chest suggesting endobronchial spread of infection with branching opacities resembling a budding tree.

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Air Bronchogram

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A pattern on imaging studies where air-filled bronchi are made visible by the opacification of surrounding alveoli; suggestive of consolidation.

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Pulmonary Embolism

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A blockage of an artery in the lungs by a substance that has traveled from elsewhere in the body usually by a blood clot. Imaging may show a filling defect in pulmonary vessels.

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Crazy-Paving

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A pattern on high-resolution CT of the lungs characterized by scattered or diffuse ground-glass opacities with superimposed interlobular septal thickening and intralobular lines.

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Consolidation

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Region of normally compressible lung tissue that has filled with liquid instead of air. Often a sign of pneumonia.

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Pulmonary Edema

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Excess fluid in the lungs, often due to left-sided heart failure. Seen as diffuse alveolar or interstitial opacities.

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Mass

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A space-occupying lesion more than 3 cm in diameter that may represent a malignancy. Requires further investigation.

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