RESUMEN
ABSTRACT: Percutaneous computed tomography-guided transthoracic lung biopsy is an effective and minimally invasive procedure to achieve tissue diagnosis. Radiologists are key in appropriate referral for further workup, with percutaneous computed tomography-guided transthoracic lung biopsy performed by both thoracic and general interventionalists. Percutaneous computed tomography-guided transthoracic lung biopsy is increasingly performed for both diagnostic and research purposes, including molecular analysis. Multiple patient, lesion, and technique-related variables influence diagnostic accuracy and complication rates. A comprehensive understanding of these factors aids in procedure planning and may serve to maximize diagnostic yield while minimizing complications, even in the most challenging scenarios.
Asunto(s)
Neoplasias Pulmonares/diagnóstico por imagen , Neoplasias Pulmonares/patología , Radiografía Intervencional/métodos , Tomografía Computarizada por Rayos X/métodos , Biopsia con Aguja , Humanos , Biopsia Guiada por Imagen , Pulmón/diagnóstico por imagen , Pulmón/patología , Reproducibilidad de los Resultados , RiesgoRESUMEN
Pulmonary nodules are the most common incidental finding in the chest, particularly on computed tomographs that include a portion or all of the chest, and may be encountered more frequently with increasing utilization of cross-sectional imaging. Established guidelines address the reporting and management of incidental pulmonary nodules, both solid and subsolid, synthesizing nodule and patient features to distinguish benign nodules from those of potential clinical consequence. Standard nodule assessment is essential for the accurate reporting of nodule size, attenuation, and morphology, all features with varying risk implications and thus management recommendations.
Asunto(s)
Hallazgos Incidentales , Neoplasias Pulmonares/diagnóstico por imagen , Neoplasias Pulmonares/terapia , Nódulo Pulmonar Solitario/diagnóstico por imagen , Nódulo Pulmonar Solitario/terapia , Tomografía Computarizada por Rayos X/métodos , Humanos , Pulmón/diagnóstico por imagenRESUMEN
Anterior mediastinal lesions while rare, are heterogeneous in etiology, with broad differential considerations that may be narrowed by drawing on discriminating clinical, radiologic, and histopathologic features. This manuscript will review the radiographic and pathologic correlation of anterior mediastinal lesions of thymic, lymphomatous, and germ-cell origin.