I Cody William Bryson of Irving Dallas County Texas USA 🇺🇸 have late stage COPD at 51 years old. It used to feel like I had about 6 inches of lung capacity when I breathed now it feels like I have only about 1 inch of lung capacity when I breathe OXYGEN and STEROIDS and my Rescue inhaler and Breztri inhaler do not help much. My Dr. AJ is a asshole for cutting my pain pills off. Susan Marie Holloway Bryson baby my love 😍 XOXO ❤
I really shouldn't be watching this as I'm waiting for a biopsy. A growth was found on my lung through an x ray and a CT scan showed about a 2cm growth that has gone into a lymph node. As I also have kidney disease, the treatment would be different according to all the reading I have done. Also the doctor might not do anything because of my age, 75. My doctor marked me as urgent and said I should get called in to the hospital in a couple of days. This waiting is not good, I just want to know if it's cancer or not at the moment.
Thank you for the informative presentation. I am a Respirologist at UHN in Toronto. I would like to know what CT thorax findings are typically observed in cases of hyperleukocytic leukemia, particularly in terms of airspace infiltration. Are there any specific patterns or features that are suggestive of this condition? Thank you in advance!
I had RCC T1A Grade 2 at age 37. They just discovered a nodule on X Ray on the upper lobe of my left lung. Going in for a CT tomorrow and I am hopeful it’s not what it could be. I am confused about the risk to patients who have been NED for years vs patients with active disease.
it wud be nice the images are displayed for a longer duration . also the description of the images needs to be shown in details or should be annotated. thanks
@@radiologyframeworks Is CT-Scan in diabetes necessary sir. Does CT-Scan in diabetes for example change the Risk stratification so that we can be more active in treatment
Probably not the standard of care in most settings I’m familiar with, since doing things like a Hemoglobin A1C, ASCVD risk assessment, etc. are much easier and inexpensive. Imaging markers are helpful for catching those folks who we didn’t get around to working up for DM who happen to have been imaged for something else.
Thank you so much, Sir! Some concepts I struggled to understand over a semester are clearly explained and efficiently organized in just a 15-min video. Thanks a million!
I wish there was a standard for radiology reports that included your standards listed here. I have yet to see such well written informed imaging studies in my health history that is packed with fragmented substandard reports. Good imaging technologists are 💎💫🌟 I hate it when a report doesn't inform. My last one had two lines of text. Lung nodules. No specifics regarding size, count, shape, content, characteristics. Patients often spend weeks gridlocked in insurance imposed hoops then wait weeks for an appointment. One study took eight months for an appointment!
I had a CT and shows I have a 2mm lower left lobe nodule. I'm 39 and vape heavily. Since April 2024 I've had bronchitis twice and pneumonia. August 2024 CT showed lungs were clear but found 2mm nodule. I've only had this cough for 4 months and actually vaping less in that time. But my cough won't go away. Do lung nodules make you cough? I'm waiting for appointment with respiratory specialist.
Love your videos. They are so educational. Always learn something new that improves my day to day practice. Always eager for more. Please continue posting ❤
If I understand correctly, the right paratracheal stripe only corresponds to the right tracheal wall and not to the right paratracheal tissues The examples which you showed regarding the right paratracheal stripe showed rather a widening of the right paratracheal tissues I think. Maybe you could elaborate further on this ?. Thanks for the great video.
The September 2023 Radiographics article, "3D Visual Guide to Lines and Stripes in Chest Radiography" by Jiao et al. is an easy to read review article on this particular subject, and one I often recommend to my residents. Our teaching has been that the right paratracheal stripe consists of medial right pleura tissue, right lateral tracheal wall, and the right paratracheal fat in between. Jiao et al. appear to agree, and describe the right paratracheal stripe as "formed by contact of the right upper lobe visceral and parietal pleurae with the right lateral border of the trachea" (which would include the small amount of right paratracheal fat between the pleura and tracheal wall). Jiao et al. also describe the stripe as projecting "from the level of the right clavicle to the right tracheobronchial angle". If we peek at the CT of a "normal" patient, the superior to mid segment of the right paratracheal stripe is mostly attributable to the right lateral tracheal wall since the pleural layers are microscopically thin, and the right paratracheal fat between the tracheal lumen and pleura is also minimal. As we move more inferiorly, there's more right paratracheal fat contributing to the stripe's thickness. Hope that helps!
@@radiologyframeworks At the example which you show @13:14 the right paratracheal stripe is shown as thin highlighted red line which is not a part of the right mediastinal sillhoute. The paratracheal tissues which form the mediastinal contour are excluded from this But at the example @14:52 you show the thick red-highlighted stripe forming the contour of the mediastinum. In my opinion, in this case the right stripe is still perceivable as a thin white line forming the wall of the trachea. As a summary I think there should be made a distinction between a thickening of the right paratracheal stripe and a thickening of the right paratracheal tissues. Do you make such a distinction?
On the CXR @13:14, there is indeed additional right mediastinal tissue that exists lateral to (and therefore excluded from) the right paratracheal stripe. The mediastinal contour *is* situated around 1 cm lateral to the right paratracheal stripe. However, what forms this contour is mostly right *prevascular* mediastinal tissue and ascending aorta/proximal aortic arch (anterior to the more medially situated anatomy responsible for creating the right paratracheal stripe) rather than right paratracheal mediastinal tissue. On the CXR @14:52, I think I see what you mean. I agree there is a white band that does look a lot like right tracheal wall when I view the CXR in RU-vid too, though it's less convincing if you're viewing the actual Keynote slide instead of a compressed video of it. I'll post a PNG in the Community tab of this RU-vid channel so you can see the actual image, too. With regards to your question, I'd say that a distinction should be made between thickening of the right paratracheal stripe and thickening of the right mediastinal tissues. Implicit in this are (1) the right paratracheal stripe is a proxy for the right paratracheal tissues and (2) the right paratracheal tissues are a subset of the right mediastinal tissues; e.g. the right prevascular tissues are right mediastinal tissues but distinct from the right paratracheal tissues.
Very helpful lecture thank you very much, I just discovered this channel. I am a board certified radiologist and cardiothoracic imaging fellow. I hope you put a special content for the fellows as well in the future. Thank you.
Thanks for the kind feedback. Yes, I’ll be working hard to broaden the reach of the material to folks at different levels of training as we go. Good luck with your fellowship!
I had a small nodule removed during heart surgery small wedge it turned out to be adnocarcinoma why arent my nodules 7ml not being looked it went from 4 to 7 i just do not understand
