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Virtual Pediatric Hospital: MetaTextbook of Pediatric Radiology: Chest and Airway MetaTextbook of Pediatric Radiology

Chest and Airway

Michael P. D'Alessandro M.D.
Peer Review Status: Internally Peer Reviewed


Imaging Modalities | Normal Variants | Upper Airway | Chest


I. Imaging Modalities

| Paediapaedia - Chest | Paediapaedia - Neonatal Chest |

A. Plain radiographs

B. CT (including high resolution)

C. Bronchography

D. Sonography

E. Fluouroscopy

F. Esophagography

G. MR


II. Normal Variants

A. Pulmonary embryology

B. Pulmonary anatomy | Illustrated Encyclopedia of Human Anatomic Variation |

C. Miscellaneous

1. Neonatal chest, normal | Chiang Mai U | Paediapaedia - Inspiratory |

2. Expiratory chest | CERF - Expiratory chest | Paediapaedia - Expiratory neonatal | Paediapaedia - Expiratory with tracheal buckling |

3. Pectus | Correlapaedia - Pectus excavatum | Paediapaedia - Pectus carinatum | Paediapaedia - Pectus excavatum | Thoracopaedia |

4. Poland's syndrome | Thoracopaedia |

5. Thymic hypertrophy | CERF - Thymic hypertrophy - 1 | CERF - Thymic hypertrophy - 2 | CERF - Thymic hypertrophy - 3 | CERF - Thymic hypertrophy - 4 | CERF - Thymic hypertrophy - 5 | Paediapaedia - Prominent thymus | Paediapaedia - Thymic hyperplasia | Thoracopaedia - Prominent thymus |


III. Upper Airway

A. Congenital

1. Cystic hygroma | BrighamRad | CERF - Mediastinal | CERF - Abdominal | Correlapaedia | Paediapaedia | WebPath - 1 | WebPath - 2 |

2. Branchial cleft cyst | Correlapaedia | Rainbow Babies and Children's Hospital |

3. Thyroglossal duct cyst | Correlapaedia |

4. Tracheomalacia / Bronchomalacia | Electric Airway |

5. Laryngeal stenosis, atresia, web | Thoracopaedia |

6. Laryngomalacia | Electric Airway |

7. Choanal atresia | Paediapaedia | Rainbow Babies and Children's Hospital |

B. Inflammatory | U of Hawaii - Introduction |

1. Tonsillar enlargement / Adenoidal hypertrophy

2. Croup | Electric Airway | Paediapaedia | Rainbow Babies and Children's Hospital | U of Hawaii |

3. Epiglottitis | Electric Airway | Paediapaedia | U of Hawaii |

C. Neoplasm

1. Juvenile angiofibroma

2. Subglottic hemangioma

3. Laryngeal papilloma | Chiang Mai U | Thoracopaedia |

D. Trauma

1. Foreign body, airway | CERF | CERF - Pneumothorax and pneumomediastinum | Paediapaedia | Radiology Central Resource | U of Alabama | U of Hawaii - 1 | U of Hawaii - 2 | U of Hawaii - 3 | U of N. Carolina |

2. Subglottic stenosis, acquired | Electric Airway |


IV. Chest

A. Congenital

1. Pulmonary agenesis / hypoplasia | CERF | Paediapaedia - Agenesis | Paediapaedia - Hypoplasia / fetal anuria | Paediapaedia - Hypoplasia / skeletal dysplasia | Thoracopaedia | WebPath - 1 | WebPath - 2 |
a. Venolobar syndrome (PAPVR) | CERF | Paediapaedia - Partially anomalous pulmonary venous return | U of Hawaii | U of Kansas Cardiology - 1 | U of Kansas Cardiology - 2 | U of Kansas Cardiology - 3 | U of Minnesota CHD - Partially anomalous pulmonary venous return |

2. Bronchial atresia | CERF |

3. Bronchopulmonary foregut malformation
a. Sequestration | CERF - 1 | CERF - 2 | Children's Hospital, Birmingham | Paediapaedia | Thoracopaedia - 1 | Thoracopaedia - 2 | U of Hawaii |

b. Bronchogenic cyst / Duplication cyst, esophageal | CERF - Bronchogenic | CERF - Esophageal duplication cyst | Paediapaedia - Bronchogenic | Thoracopaedia - Bronchogenic - 1 | Thoracopaedia - Bronchogenic - 2 | U of Hawaii - Bronchogenic |

c. Cystic adenomatoid malformation (CAM) | Chiang Mai U | Correlapaedia | Paediapaedia | Thoracopaedia - 1 | Thoracopaedia - 2 | Thoracopaedia - 3 | Rainbow Babies and Children's Hospital - 1 | Rainbow Babies and Children's Hospital - 2 |

d. Congenital lobar emphysema (CLE) | CERF - 1 | CERF - 2 | Chiang Mai U | Correlapaedia | Paediapaedia | Thoracopaedia | U of Hawaii |

4. Tracheal bronchus | CERF - 1 | CERF - 2 | CERF - 3 | Rainbow Babies and Children's Hospital |

5. Lymphangiectasia | CERF | Paediapaedia |

B. Inflammatory

1. Infections
a. Pneumonia, bacterial
Pneumonia, uncomplicated | CERF - 1 | CERF - 2 | Paediapaedia | Paediapaedia - Right Lower Lobe | U of Hawaii - Abdominal pain | U of Hawaii | WebPath - 1 | WebPath - 2 | WebPath - 3 | WebPath - 4 | WebPath - 5 | WebPath - 6 | WebPath - 7 | WebPath - 8 | WebPath - 9 |

Pneumonia, chlamydia | Paediapaedia |

Pneumonia, haemophilus influenza

Pneumonia, mycoplasma | Paediapaedia | Radiology Central Resource |

Pneumonia, pertussis

Pneumonia, round | CERF | Paediapaedia |

Abscess, pulmonary | CERF - 1 | CERF -2 | Chiang Mai U | Rainbow Babies and Children's Hospital | Thoracopaedia - 1 | Thoracopaedia - 2 | Thoracopaedia - 3 | Thoracopaedia - 4 | Thoracopaedia - 5 | WebPath - 1 | WebPath - 2 | WebPath - 3 | WebPath - 4 | WebPath - 5 | WebPath - Empyema |

Pneumatocele, post infectious | Thoracopaedia - 1 | Thoracopaedia - 2 |

b. Pneumonia, viral (including Respiratory syncytial virus (RSV), varicella, measles) | Paediapaedia - Overview | Paediapaedia - Swyer James | Radiology Central Resource - 1 | Radiology Central Resource - 2 | U of Hawaii - CMV |
Pneumonia, measles | CERF |

Pneumonia, respiratory syncytial virus (RSV) | Paediapaedia - Bronchiolitis | WebPath |

Pneumonia, varicella

c. Tuberculosis, pulmonary (TB) | CERF - 1 | CERF - 2 | CERF - 3 | CERF - 4 | CERF - 5 | CERF - 6 | CERF - 7 | Paediapaedia - Primary | Paediapaedia - Miliary | Rainbow Babies and Children's Hospital | Thoracopaedia | U of Alabama | U of Hawaii | U of N. Carolina | WebPath - 1 | WebPath - 2 | WebPath - 3 | WebPath - 4 | WebPath - 5 | WebPath - 6 | WebPath - 7 | WebPath - 8 | WebPath - 9 | WebPath - 10 | WebPath - 11 | WebPath - Miliary - 1 | WebPath - Miliary - 2 |

d. Pneumonia, pneumocystis carinii (PCP) | Paediapaedia |

e. Pneumonia, fungal | Thoracopaedia - Aspergillosis - 1 | Thoracopaedia - Aspergillosis - 2 | Thoracopaedia - Aspergillosis - 3 | WebPath - Aspergillosis - 1 | WebPath - Aspergillosis - 2 | WebPath - Aspergillosis - 3 | WebPath - Aspergillosis - 4 | WebPath - Aspergillosis - 5 |

2. Acquired immune deficiency syndrome, pulmonary (AIDS) | Rainbow Babies and Children's Hospital - LIP | U of Pittsburgh Pathology - LIP |

3. Reactive airways disease (RAD) / Asthma | CERF | Paediapaedia - Asthma | Thoracopaedia | WebPath - 1 | WebPath - 2 | WebPath - 3 | WebPath - 4 | WebPath - 5 |

4. Bronchiectasis | CERF | WebPath - 1 | WebPath - 2 | WebPath - 3 | WebPath - 4 |

5. Cystic fibrosis (CF) / Immotile cilia syndrome | CERF | Children's Hospital, Birmingham | Paediapaedia | Paediapaedia - Kartagener syndrome | Thoracopaedia |

C. Neoplasms

1. Mediastinal neoplasms
a. Lymphoma / leukemia, mediastinal | Catholic University of Korea - 1 | Catholic University of Korea - 2 | CERF - Hodgkins - 1 | CERF - Hodgkins - 2 | CERF - Hodgkins - 3 | CERF - Lymphosarcoma | Paediapaedia | Thoracopaedia -1 | Thoracopaedia - 2 | Thoracopaedia - 3 | Thoracopaedia - 4 |

b. Teratoma, mediastinal | CERF - 1 | CERF - 2 | CERF - 3 | Paediapaedia | Thoracopaedia - 1 | Thoracopaedia - 2 | WebPath |

c. Thymoma | CERF - Thymolipoma - 1 | CERF - Thymolipoma - 2 |

d. Neurogenic tumors, mediastinal | CERF - Neuroblastoma - Thoracic - 1 | CERF - Neuroblastoma - Thoracic - 2 | CERF - Neuroblastoma - Thoracic - 3 | CERF - Neuroblastoma - Thoracic - 4 | CERF - Neuroblastoma - Thoracic - 5 | CERF - Neuroblastoma - Thoracic - 6 | CERF - Neuroblastoma - Thoracic - 7 | Chiang Mai U - Thoracic | Correlapaedia - Neuroblastoma - Thoracic | Correlapaedia - Neurofibroma | Paediapaedia | Rainbow Babies and Children's Hospital - Cervical | Rainbow Babies and Children's Hospital - Thoracic - 1 | Rainbow Babies and Children's Hospital - Thoracic - 2 | Thoracopaedia - Thoracic - 1 | Thoracopaedia - Thoracic - 2 | Thoracopaedia - Thoracic - 3 | (See also Genitourinary System IV. A. 1)

2. Primary pulmonary tumors
a. Adenoma, pulmonary

b. Hamartoma, pulmonary | WebPath - 1 | WebPath - 2 |

c. Hemangioma, pulmonary

d. Mesenchymal sarcoma, pulmonary (and their association with developmental cystic lesions of the lung)

3. Metastases, pulmonary | CERF - Osteosarcoma - 1 | CERF - Osteosarcoma - 2 | CERF - Osteosarcoma - 3 | Paediapaedia | Thoracopaedia - Testicular | Thoracopaedia - Wilms |

4. Chest wall neoplasms (including Askin tumor) | CERF - Aneurysmal Bone Cyst | CERF - Askin - 1 | CERF - Askin - 2 | CERF - Askin - 3 | CERF - Askin - 4 | CERF - Histiocytosis X | CERF - Undifferentiated sarcoma | Correlapaedia - Askin | Correlapaedia - Infantile fibrosarcoma | Paediapaedia - Askin | Thoracopaedia - Askin | Thoracopaedia - Epitheliod sarcoma | Thoracopaedia - Lipoma | Thoracopaedia - Osteochondroma |

D. Trauma

1. Contusion, pulmonary | Thoracopaedia - 1 | Thoracopaedia - 2 |

2. Airleak
a. Pneumothorax (PTX) | Paediapaedia | Paediapaedia - Anteromedial | Paediapaedia - Spontaneous | Paediapaedia - Tension | U of Hawaii - Spontaneous |

b. Pneumomediastinum (PMS) | CERF | Chiang Mai U | Paediapaedia | Paediapaedia - Pneumopericardium | Thoracopaedia | U of Hawaii - 1 | U of Hawaii - 2 |

c. Pulmonary interstitial emphysema (PIE) | Chiang Mai U | Paediapaedia |

d. Bronchopleural fistula | Thoracopaedia - 1 | Thoracopaedia - 2 |

e. Fracture of the tracheobronchial tree

f. Foreign body, airway | (See above III. D. 1. )

g. Bronchial stenosis, post-traumatic | CERF |

h. Diaphragmatic hernia, post-traumatic

i. Complications of tubes and lines, pulmonary | Thoracopaedia |

E. Unique problems in the neonate

1. Hyaline membrane disease (HMD) | Chiang Mai U | Paediapaedia | WebPath |

2. Transient tachypnea of the newborn (TTN) | Chiang Mai U | Paediapaedia |

3. Pneumonia, neonatal | Chiang Mai U | Paediapaedia | WebPath |

4. Diaphragmatic hernia, congenital (CDH)
Eventration of the diaphragm | CERF - 1 | CERF - 2 | Paediapaedia |

Morgagni hernia | Correlapaedia | Thoracopaedia |

Bochdalek hernia | CERF - 1 | CERF - 2 | Chiang Mai U - 1 | Chiang Mai U - 2 | Correlapaedia - 1 | Correlapaedia - 2 | Paediapaedia | Thoracopaedia | U of Hawaii | U of N. Carolina | Rainbow Babies and Children's Hospital - 1 | Rainbow Babies and Children's Hospital - 2 | Rainbow Babies and Children's Hospital - 3 | Rainbow Babies and Children's Hospital - 4 | U of Alabama | WebPath - 1 | WebPath - 2 | WebPath - 3 |

5. Bronchopulmonary dysplasia (BPD) | Chiang Mai U | Paediapaedia | Thoracopaedia - 1 | Thoracopaedia - 2 | U of Hawaii | WebPath |

6. Meconium aspiration syndrome (MAS) | Chiang Mai U | Paediapaedia | WebPath - 1 | WebPath - 2 |

7. Persistent fetal circulation (PFC) | Paediapaedia | U of Kansas Cardiology |

8. Extracorporeal membrane oxygenation (ECMO) therapy and its complications | Paediapaedia - ECMO catheters |

9. Chylothorax | Paediapaedia | WebPath |

10. Airleak in the neonate (See IV. D. 2. directly above)

F. Miscellaneous

1. Idiopathic pulmonary hemosiderosis | Paediapaedia | Radiology Central Resource |

2. Collagen vascular diseases | U of Hawaii - Goodpasture's |

3. Pneumothorax, spontaneous | Paediapaedia |

4. Pulmonary edema, cardiogenic and noncardiogenic (including Adult respiratory distress syndrome (ARDS)) | Paediapaedia - Cardiogenic | Paediapaedia - Noncardiogenic | Radiology Central Resource - Negative pressure | Rainbow Babies and Children's Hospital - Lung injury |

5. Histiocytosis X, pulmonary (HX) | CERF - 1 | CERF - 2 | (See also Musculoskeletal System V. A. 6. and Neurological System IV. C. 5.)

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