Table of Contents

1. Basic Concepts Radiodensity as a Function of Thickness Radiodensity as a Function of Composition, with Thickness Kept Constant How Roentgen Shadows Instruct You about Form Radiographs as Summation Shadowgrams 2. The Imaging Techniques Thinking Three-Dimensionally about Plain Films The Routine Posteroanterior (PA) Film PA and AP Chest Films Compared The Lateral Chest Film The Lordotic View Conventional Tomography Radiographs of Coronal Slices of a Frozen Cadaver Conventional Tomograms of the Living Patient in the Coronal Plane Fluoroscopy Angiography Computed Tomography Reformatted CT Images in Coronal, Sagittal, and Other Planes and Three-Dimensional CT CT Angiography Ultrasound Magnetic-Resonance Imaging Radioisotope Scanning 3. Normal Radiological Anatomy 4. How to Study the Chest Projection The Rib Cage Confusing Shadows Produced by Rotation The Importance of Exposure Soft Tissues 5. The Lung The Normal Lung Variations in Pulmonary Vascularity The Pulmonary Microcirculation Variations in the Pulmonary Microcirculation Solitary and Disseminated Lesions in the Lung Air-Space and Interstitial Disease The Importance of Clinical Findings High-Resolution CT of the Lung 6. Lung Consolidations and Pulmonary Nodules Consolidation of a Whole Lung Consolidation of One Lobe Consolidation of Only a Part of One Lobe Solitary and Multiple Pulmonary Nodules 7. The Diaphragm, the Pleural Space, and Pulmonary Embolism Pleural Effusion Pneumothorax Pulmonary Embolic Disease Radioisotope Perfusion and Ventilation Lung Scans Pulmonary Embolism CT 8. Lung Overexpansion, Lung Collapse, and Mediastinal Shift Emphysema Normal Mediastinal Position Mediastinal Shift 9. The Mediastinum Mediastinal Compartments and Masses Arising within Them Anterior Mediastinal Masses Anterior and Middle Mediastinal Masses Posterior Mediastinal Masses 10. The Heart Measurement of Heart Size Factors Limiting Measurement of Heart Size Examples of Apparent Abnormality in Heart Size and Difficulties in Measuring Interpretation of the Measurably Enlarged Heart Shadow Enlargement of the Left or Right Ventricle The Heart in Failure Variations in Pulmonary Blood Flow Cardiac Calcification The Anatomy of the Heart Surface Identifying Right and Left Anterior Oblique Views The Anatomy of the Heart Interior Coronary Arteriography Classic Changes in Shape with Chamber Enlargement Nuclear Cardiac Imaging MR Images of the Heart Cardiac CT 11. How to Study the Abdomen The Plain Film Radiograph Identifying Parts of the Gastrointestinal Tract Identifying Fat Planes Identifying Various Kinds of Abnormal Densities Systematic Study of the Plain Film CT of the Abdomen Ultrasound of the Abdomen 12. Bowel Gas Patterns, Free Fluid, and Free Air The Distended Stomach The Distended Colon The Distended Small Bowel Differentiating Large-Bowel and Small-Bowel Obstruction from Paralytic Ileus Free Peritoneal Fluid Free Peritoneal Air 13. Contrast Study and CT of the Gastrointestinal Tract Principles of Barium Work Normal Variation versus a Constant Filling Defect The Components of the Upper GI Series Rigidity of the Wall Filling Defects and Intraluminal Masses in the Stomach and Small Bowel Gastric and Duodenal Ulcers The Barium Enema Filling Defects and Intraluminal Masses in the Colon CT of the Gastrointestinal Tract CT of the Thickened Bowel Wall CT of Diverticular Disease CT of Appendicitis CT of Bowel Obstruction CT of Bowel Ischemia 14. The Abdominal Organs The Liver Liver Metastases Primary Tumors of the Liver Hepatic Cysts and Abscesses Liver Trauma Cirrhosis, Splenomegaly, and Ascites Splenic Trauma Cholelithiasis and Cholecystitis Obstruction of the Biliary Tree The Pancreas Pancreatic Tumors Pancreatitis and Pancreatic Abscesses Pancreatic Trauma The Urinary Tract Obstructive Uropathy Cystic Disease of the Kidneys Urinary Tract Infection Renal Tumors Intravenous Contrast Materials Renal Trauma The Urinary Bladder The Adrenal Glands 15. The Musculoskeletal System How to Study Radiographs of Bones Requesting Films of Bones Fractures Fracture Clinic Dislocations and Subluxations Osteomyelitis Arthritis Osteonecrosis Microscopic Bone Structure and Maintenance The Development of Metabolic Bone Disease Osteoporosis of the Spine Spine Fractures Osteomyelitis of the Spine Metastatic Bone Tumors Primary Bone Tumors Musculoskeletal MR Imaging 16. Men, Women, and Children The Female Breast The Female Pelvis Gynecological Conditions Obstetrical Imaging Ectopic Pregnancy Placenta Previa Placental Abruption The Scrotum The Prostate The Male Urethra Croup and Epiglottitis Pneumonia, Bronchiolitis, and Bronchitis Cystic Fibrosis Hypertrophic Pyloric Stenosis Ileocolic Intussusception Hirschsprung's Disease Abdominal Masses in Infants and Children Normal Pediatric Bones Fractures in Children Child Abuse Pediatric Cranial Ultrasound 17. The Vascular System Conventional Arteriography Digital Subtraction Angiography Conventional Venography Ultrasound and Color Doppler Ultrasound MR Angiography CT Angiography Arterial Anatomy Aortic Aneurysm Aortic Dissection Traumatic Aortic Injury Atherosclerotic Arterial Occlusive Disease Renovascular Hypertension Venous Anatomy Obstruction of the Superior Vena Cava Disorders of the Inferior Vena Cava Deep Venous Thrombosis of the Lower Extremities 18. The Central Nervous System Imaging Techniques CT Anatomy of the Normal Brain MR Anatomy of the Normal Brain CT and MR Compared Hydrocephalus, Brain Atrophy, and Intracranial Hemorrhage Normal Cerebral Arteriography Head Trauma Cerebrovascular Disease and Stroke Brain Tumors Cerebral Aneurysm and Arteriovenous Malformation The Face Low Back Pain and Lumbar Disc Syndrome Spinal Tumors 19. Interventional Radiology Percutaneous Transluminal Angioplasty Transcatheter Embolization Angiographic Diagnosis and Control of Acute Gastrointestinal Hemorrhage Inferior Vena Cava Filters Image-Guided Venous Access Percutaneous Aspiration Needle Biopsy of the Thorax Percutaneous Aspiration Needle Biopsy of the Abdomen Percutaneous Abscess Drainage Percutaneous Gastrostomy and Jejunostomy Radiofrequency Ablation Percutaneous Cholecystotomy Radiological Management of Urinary Tract Obstruction Uterine Fibroid Embolization Interventional Neuroradiology Vertebroplasty 20. The Latest in Diagnostic Imaging Virtual Colonoscopy and Virtual Bronchoscopy Coronary Calcium Scoring Coronary CT Angiography Three-Dimensional Ultrasound Fusion Imaging with PET-CT Functional MR Imaging Molecular Imaging Answers to Unknowns Acknowledgments Index

Promotional Information

Five Stars!...Dr. Novelline has done an incredible job, taking an excellent text and improving it...[He] has kept the best parts of the previous editions, adding and updating to create a new incredible educational tool for a reasonable price that will stand the test of time. This text belongs in the personal library of every medical student. -- Kathleen A. Murray, M.D., Department of Radiology, University of Utah School of Medicine

About the Author

Robert A. Novelline, M.D., is Professor Emeritus of Radiology at Harvard Medical School and Director Emeritus of both the Harvard Medical School Core and Advanced Radiology Student Clerkships at Massachusetts General Hospital.

Reviews

[Review of the previous edition] As a result of wide popularity, this excellent textbook reaches its fifth edition. The book appears to have been and to be the 'vademecum' of thousands of medical students, but its content is also devoted to doctors of sciences other than radiology, who use imaging as an essential tool for diagnostic workup of patients. The 25 years' experience of the textbook can clearly be recognized through its 20 chapters covering all fields of diagnostic imaging. The significant advances in imaging technology have brought a great number of new diagnostic images to this edition and new subjects, such as interventional radiology, have been included. Another important new feature of the book is body anatomy, explained either by plain films or by cross-sectional images. All diagnostic problems are presented in a very practical and essential way, tailored to students who will certainly be doctors but may not become radiologists. The reasoning of the author as a non-radiologist but with the radiologist's eyes is the most captivating feature of the textbook. This aspect can only be explained by Squire's and then Novelline's great experience in teaching medical students...The quality of images and captions is excellent, mainly from the teaching point of view. In fact, I was unable to find any misleading image or caption. Although the book is primarily devoted to medical students, its characteristics make it suitable also for first-/second-year residents in radiology. The book is definitely to be recommended to all doctors willing to know more about modern diagnostic imaging. Its size and reasonable price make this volume highly cost-effective. -- A. Chiesa European Radiology [Review of the previous edition] This is the fifth edition of a text...written as an introduction to radiology for medical students. In 1964 Lucy Frank Squire authored the first edition, which became a standard for education of medical students. Squire recently passed away, but her teaching enthusiasm and spirit are maintained in eloquent fashion by Novelline, her colleague and friend. Without changing its purpose, the text has been rewritten considerably and is nearly doubled in size. New chapters in anatomy and subspecialty areas are included. New to this edition are chapters emphasizing primary-care areas, including women's imaging, men's imaging, pediatric radiology, and AIDS. This edition also contains photographs of patients undergoing exams in radiology suites and discussions of the patients' experiences in the department. Booklist [Review of a previous edition] I recommend this book as the definitive introductory text for medical students in their clinical years and to the course leaders of required or elective undergraduate courses in diagnostic radiology. -- Joseph Whitely, M.D. JAMA