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Pediatric Chest Imaging by Pilar Garcia-Peña, R. Paul Guillerman

By Pilar Garcia-Peña, R. Paul Guillerman

Since the second one variation of Pediatric Chest Imaging used to be released in 2007, there were additional major advances in our realizing of chest ailments and endured improvement of latest imaging expertise and methods. The 3rd, revised variation of this hugely revered reference booklet has been completely up-to-date to mirror this growth. Due recognition is paid to the elevated position of hybrid imaging, and completely new chapters disguise subject matters comparable to interventional radiology, lung MRI, sensible MRI, diffuse/interstitial lung ailment, and cystic fibrosis. As in prior versions, the point of interest is on technical features of recent imaging modalities, their symptoms in pediatric chest ailment, and the diagnostic info that they provide. Pediatric Chest Imaging should be a necessary asset for pediatricians, neonatologists, cardiologists, radiologists, and pediatric radiologists all over the place.

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1993). If radiologic findings are uncertain, expiratory images are of great help, as well as dynamic assessment of air trapping with fluoroscopy that will show mediastinal shift toward the contra lateral side during expiration. It is important to mention that the history of choking, very useful for diagnosis, is not always present. Fig. 25 Frontal chest radiograph of a child with foreign body aspiration. The left lung is large and hyperlucent with less vessels due to air trapping caused by partial obstruction of the left main bronchus.

38 G. Enriquez et al. Fig. 12 A 10-year-old boy with pleural effusion and secondary atelectasis of the ipsilateral lung a Transverse US scan of the right hemithorax shows profuse pleural fluid and atelectatic lung b Crowded pulmonary vessels, characteristic of pulmonary collapse, are demonstrated by power Doppler. This US finding explains why atelectasis is seen as a hyperintense lesion on CT Fig. 13 Numerous sonobronchograms not visualized on the chest plain film a Chest radiograph of a 4-year-old boy shows almost complete opacification of the right hemithorax.

A useful clue is to evaluate the definition of the lung vessels, which are well-defined in adequately inspired films. The configuration of the thoracic cage also helps since in expiratory radiographs usually the transverse diameter predominates over the longitudinal diameter, as opposed to what happens in well-inspired images (Moënne and Ortega 2012). 2 Increased Lung Volume with Normal Vasculature Bilateral increase of lung volume with normal vascularity can be physiologic or secondary to diffuse mild obstruction of the small airway.

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