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Radiologic Pathology Correlation
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Pneumothorax
Presence of air in the pleural space; seen as a line of increased lucency; lung margin is visible distinct from the chest wall.
Pulmonary edema
Interstitial and alveolar infiltrates, Kerley B lines, Bat wing or butterfly pattern of opacities.
Pneumonia
Consolidation, air bronchograms, increased opacity.
Chronic obstructive pulmonary disease (COPD)
Hyperinflated lungs, flattened diaphragm, increased retrosternal airspace, bullae.
Congestive heart failure (CHF)
Cardiomegaly, interstitial edema, pleural effusion, Kerley B lines.
Pulmonary embolism
Westermark sign, Hampton's hump, Fleischner sign, may be normal.
Tuberculosis
Cavitary lesions, Ghon complexes, miliary pattern on chest radiograph.
Aortic aneurysm
Widened mediastinum, abnormal aortic contour, possible calcifications.
Bone fracture
Discontinuity in bony cortex, abnormal angulation, soft tissue swelling.
Osteoarthritis
Joint space narrowing, osteophytes, subchondral sclerosis, subchondral cysts.
Osteoporosis
Reduced bone density, vertebral compression fractures, cortical thinning.
Multiple myeloma
Punched-out lytic lesions, diffuse osteopenia, pathological fractures.
Hepatomegaly
Enlarged liver silhouette on abdominal radiographs, displacement of adjacent organs.
Cholelithiasis (Gallstones)
Echogenic foci with posterior acoustic shadowing on ultrasound, may have calcified gallstones on X-ray.
Appendicitis
Appendix diameter > 6mm on ultrasound, periappendiceal fat stranding on CT, appendicolith.
Pancreatitis
Pancreatic enlargement, peripancreatic stranding, pancreatic calcifications.
Small bowel obstruction
Dilated loops of small bowel, air-fluid levels, stack of coins or string of pearls sign on X-ray.
Cerebral hemorrhage
Hyperdense area on CT, surrounding edema, mass effect with possible midline shift.
Hydrocephalus
Ventricular enlargement, transependymal flow of CSF, 'sunset eyes' sign.
Meningioma
Extra-axial mass, dural tail sign, broad-based attachment to dura.
Cervical spine injury
Fracture or misalignment of cervical vertebrae, prevertebral soft tissue swelling, widening of interspinous space.
Pulmonary nodules
Rounded opacities, can be solitary or multiple, size varies, may have calcifications.
Interstitial lung disease
Reticular or nodular pattern, honeycombing, ground-glass opacities.
Breast cancer
Mass with spiculated margins, microcalcifications, architectural distortion.
Pleural effusion
Blunting of costophrenic angle, meniscus sign, homogeneous opacity.
Abdominal aortic aneurysm
Focal dilation of the abdominal aorta, possible calcification of the aneurysm wall, retroperitoneal hematoma in rupture.
Renal calculi (Kidney stones)
Radiopaque stones on X-ray or CT, hydronephrosis, ureteral dilation.
Gastroesophageal reflux disease (GERD)
Esophageal thickening on CT, stricture, hiatal hernia.
Inflammatory bowel disease
Bowel wall thickening, 'string sign' in Crohn's, 'lead pipe' appearance in ulcerative colitis.
Brain tumor (glioma)
Mass effect, contrast enhancement, surrounding edema.
Acute sinusitis
Opacification of affected sinus, mucosal thickening, air-fluid level.
Spondylolisthesis
Anterior displacement of a vertebra, widening of the intervertebral disc space, possible neural foraminal narrowing.
Osteomyelitis
Periosteal reaction, bone destruction, sequestrum and involucrum formation.
Fibroadenoma
Well-defined, round or oval breast mass, may be multiple, homogeneous density.
Lung cancer
Solitary pulmonary nodule or mass with or without spiculation, hilar enlargement, mediastinal lymphadenopathy.
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