Chad Miller

All articles by Chad Miller

Right Middle Lobe Syndrome

Preliminary Diagnosis: Right Middle Lobe Syndrome I. What imaging technique is first-line for this diagnosis? Chest x-ray. PA, and lateral. II. Describe the advantages and disadvantages of this technique for diagnosing right middle lobe syndrome. Advantages Highly portable and inexpensive imaging modality. Exposes patients to negligible ionizing radiation.Continue Reading Highly sensitive in evaluating for right…

Retro-Orbital Mass

Preliminary Diagnosis: Retro-Orbital Mass I. What imaging technique is first-line for this diagnosis? CT with contrast of the brain and orbits. II. Describe the advantages and disadvantages of this technique for diagnosing retro-orbital mass. Advantages Relatively inexpensive and fast imaging modality. Better details and evaluates surrounding osseous structures than other imaging modalities.Continue Reading Disadvantages Exposes…

Rheumatologic ILD

Preliminary Diagnosis: Rheumatologic ILD I. What imaging technique is first-line for this diagnosis? Chest x-ray, PA, and lateral. II. Describe the advantages and disadvantages of this technique for diagnosing rheumatologic ILD. Advantages Relatively inexpensive and faster imaging modality compared to cross sectional imaging. Exposes patients to minimal ionizing radiation.Continue Reading Highly portable. Disadvantages Less sensitive…

Renal Infarction

Preliminary Diagnosis: Renal Infarction I. What imaging technique is first-line for this diagnosis? CT scan of the abdomen and pelvis with IV contrast. II. Describe the advantages and disadvantages of this technique for diagnosing renal infarction. Advantages Most sensitive and specific imaging modality in detecting and characterizing a renal infarct. Highly specific in characterizing the…

Rectovaginal Fistulas

Preliminary Diagnosis: Rectovaginal Fistulas I. What imaging technique is first-line for this diagnosis? Contrast enema with barium or water-soluble contrast. II. Describe the advantages and disadvantages of this technique for diagnosing rectovaginal fistulas. Advantages Specific examination as entry point with contrast near the diseased segment of bowel. Can easily and quickly identify the location, length,…

Pulmonary Regurgitation

Preliminary Diagnosis: Pulmonary Regurgitation I. What imaging technique is first-line for this diagnosis? Trans-thoracic 2D echocardiography II. Describe the advantages and disadvantages of this technique for diagnosing pulmonary regurgitation. Advantages Offers exquisite anatomical and functional imaging. Does not expose patients to ionizing radiation.Continue Reading Detects pressure gradients and velocities across a diseased valve and helps…

Pulmonary Stenosis

Preliminary Diagnosis: Pulmonary Stenosis I. What imaging technique is first-line for this diagnosis? Trans-thoracic 2D echocardiography. II. Describe the advantages and disadvantages of this technique for diagnosing pulmonary stenosis. Advantages Offers exquisite anatomical and functional imaging. Does not expose patients to ionizing radiation.Continue Reading Helps detect pressure gradients and velocities across a diseased valve and…

Pulmonary Fibrosis

Preliminary Diagnosis: Pulmonary Fibrosis I. What imaging technique is first-line for this diagnosis? Chest x-ray, PA, and lateral view. II. Describe the advantages and disadvantages of this technique for diagnosing pulmonary fibrosis. Advantages Highly portable. Relatively inexpensive and exposes patients to minimal ionizing radiation.Continue Reading Disadvantages Less sensitive and specific in detailing the underlying parenchyma…

Progressive Multifocal Leukoenceophalopathy

Preliminary Diagnosis: Progressive Multifocal Leukoenceophalopathy I. What imaging technique is first-line for this diagnosis? MR of the brain with contrast and special demyelinating protocol. II. Describe the advantages and disadvantages of this technique for diagnosing progressive multifocal leukoenceophalopathy. Advantages Able to delineate subtle and more conspicuous confluent white matter abnormalities often affecting the subcortical white…

Pulmonary Edema

Preliminary Diagnosis: Pulmonary Edema I. What imaging technique is first-line for this diagnosis? Chest X-ray, PA, and lateral views. II. Describe the advantages and disadvantages of this technique for diagnosing pulmonary edema. Advantages Relatively inexpensive and fast imaging modality. Highly portable.Continue Reading Exposes patients to minimal ionizing radiation. Plain radiography is highly sensitive. Disadvantages Less…

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