I N T E R P R E T I N G C H E ST X- R AY S
Illustrated with 100 Cases
Interpreting chest X-rays can seem bafﬂing and intimidating for junior doctors. This highly illustrated guide provides the ideal introduction to chest radiology. It uses 100 clinical cases to illuminate a wide range of common medical conditions, each illustrated with a chest X-ray and a clear description of the signiﬁcant diagnostic features and their clinical relevance. Where appropriate, CT scans and bronchoscopic imaging are also included as part of the investigation. Pulmonary medicine is largely based on the strong foundation of the plain chest radiograph. Indeed, chest radiography is the single most common investigation carried out in hospital practice. This collection of case studies will help make the learning process easier, more enjoyable, and less painful. As well as offering enlightening pearls of core knowledge in chest X-ray interpretation, it highlights some of the pitfalls that might wrong-foot the inexperienced practitioner. Dr. Philip Eng is Head of the Department of Respiratory and Critical Care Medicine at the Singapore General Hospital, and Clinical Associate Professor of Medicine at the National University of Singapore. Dr. Foong-Koon Cheah is Director of Body Imaging and Director of Teaching and Education at the Department of Radiology at the Singapore General Hospital.
INTERPRETING C H E ST X- R AY S
Illustrated with 100 cases
Singapore General Hospital
Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo Cambridge University Press The Edinburgh Building, Cambridge , UK Published in the United States of America by Cambridge University Press, New York www.cambridge.org Information on this title: www.cambridge.org/9780521607322 © P. Eng and F.-K. Cheah 2005 This publication is in copyright. Subject to statutory exception and to the provision of relevant collective licensing agreements, no reproduction of any part may take place without the written permission of Cambridge University Press. First published in print format 2005 - - - - ---- eBook (NetLibrary) --- eBook (NetLibrary) ---- paperback --- paperback
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CO N T E N T S
Preface Cases 1 to 100 Index
page vii 1 201
P R E FA C E
This book arose because of the huge amounts of clinical material that pass through the Singapore General Hospital, the largest tertiary care hospital in Singapore. A signiﬁcant proportion of our patients come to us for a second opinion from the neighboring countries. Often they come to consult us for an abnormality on a chest radiograph. Pulmonary Medicine is largely based on the strong foundation of the plain chest radiograph. Indeed, chest radiography is the single most common investigation carried out in hospital practice. This book is targeted towards ﬁnalyear medical students and residents in a medical training program. We have given countless tutorials to generations of medical students, residents, and fellows and we hope that this collection of pearls can help make the learning process easier, more enjoyable, and less painful. Readers are advised to read this book from cover to cover as the cases are laid out in an increasing order of complexity. The latter cases assume some fundamental knowledge which is laid out in the earlier cases. The authors have intentionally made the cases as clinically relevant as possible so that interest is sustained and the book will not be heavy going. P. E N G F. K . C H EA H
Interpreting Chest X-Rays