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Diagnostic Radiology: Chest Intern

Purpose of the Rotation

The purpose of the rotation is to focus on the interpretation of the chest radiograph and the fundamentals of chest CT.

Week 1

Objectives: To establish the fundamentals of chest radiograph interpretation

Monday
Read: Felson's Principles of Chest Roentgenology: a Programmed Text
Ch 1. The radiographic examination
Ch 3. The normal chest x-ray: reading like the pros
Ch 5. Lobar anatomy

Tuesday
Read: Felson's Principles of Chest Roentgenology: a Programmed Text
Ch 6. The silhouette sign
Ch 7. The air bronchogram sign
Ch 8. Signs of lung and lobar collapse

Wednesday
Read: Felson's Principles of Chest Roentgenology: a Programmed Text
Ch 9. Patterns of lung disease
Ch 10. The mediastinum
Ch 11. The pleural and extrapleural spaces

Thursday
Read: Felson's Principles of Chest Roentgenology: a Programmed Text
Ch 12. Cardiovascular disease
Website: The Radiology Assistant
- Chest x-ray: basic interpretation

Friday-Sunday
Website: The Radiology Assistant
- Chest x-ray: heart failure
- Chest x-ray: lung disease
Article: Fleischner Society: glossary of terms for thoracic imaging

Week 2

Objectives: To establish the fundamentals of chest CT interpretation and to consolidate and advance the knowledge on chest radiograph.

Monday
Read: Felson's Principles of Chest Roentgenology: A Programmed Text
Ch 2. Cross-sectional imaging techniques
Ch 4. Chest CT: putting it together

Tuesday
Website: The Radiology Assistant
- Lung - Solitary pulmonary nodule: benign versus malignant
- Fleischner 2017 guideline for pulmonary nodules

Wednesday
Website: The Radiology Assistant
- Mediastinum - Lymph Node Map
Read: International association for the study of lung cancer (IASLC) lymph node map: radiologic review with CT illustration

Thursday
Read: Learning Radiology: Recognizing the Basics
Ch 2. Recognizing a technically adequate chest radiograph
Ch 3. Recognizing normal pulmonary anatomy

Friday-Sunday
Read: Learning Radiology: Recognizing the Basics
Ch 4. Recognizing normal cardiac anatomy
Ch 5. Recognizing airspace versus interstitial lung disease
Ch 6. Recognizing the causes of an opacified hemithorax

Week 3

Objectives: To solidify advanced knowledge of chest radiography.

Monday
Read: Learning Radiology: Recognizing the Basics
Ch 7. Recognizing atelectasis
Ch 8. Recognizing a pleural effusion

Tuesday
Read: Learning Radiology: Recognizing the Basics
Ch 9. Recognizing pneumonia
Ch 10. Recognizing pneumothorax, pneumomediastinum, pneumopericardium, and subcutaneous emphysema

Wednesday
Read: Learning Radiology: Recognizing the Basics
Ch 11. Recognizing the correct placement of lines and tubes and their potential complications: critical care radiology
Video: Society of Thoracic Radiology
- ICU Imaging Primer: Lines, Tubes, and Devices in the Thorax
Website: The Radiology Assistant
- Cardiovascular Devices on Chest X-Ray

Thursday
Read: Learning Radiology: Recognizing the Basics
Ch 12. Recognizing diseases of the chest
Ch 13. Recognizing adult heart disease

Friday-Sunday
Article: Lines and Stripes: Where Did They Go?

Week 4

Objectives: To learn the basics of imaging evaluation of some thoracic diseases (nodules, cancer, infection). To overview the role of dual-energy CT in thoracic diseases.

Monday
Video: Society of Thoracic Radiology
- Imaging of Solid Solitary Nodules
- Overview of Subsolid Nodules

Tuesday
Website: The Radiology Assistant
- Lung - Cancer TNM 8th Edition
Video: Society of Thoracic Radiology
- Role of Imaging in Lung Cancer Staging
- PET/CT Imaging in Lung Cancer

Wednesday
Article: CT Angiography of Pulmonary Embolism: Diagnostic Criteria and Causes of Misdiagnosis

Thursday
Article: Dual-Energy CT: Spectrum of Thoracic Abnormalities
Article: Dual-Energy CT: Clinical Applications in Various Pulmonary Diseases