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Prepare trainees to be on call for the emergency department with this specialized training series.
Training Collections
Library Memberships
On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
Ultimate Learning Pass
Unlock access to our full Course Library and all self-paced Fellowships.
Noon Conference (Free)
Get access to free live lectures, every week, from top radiologists.
Case of the Week (Free)
Get a free weekly case delivered right to your inbox.
Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal Imaging
Emergency Imaging
PET Imaging
Pediatric Imaging
For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
2 topics, 14 min.
9 topics, 31 min.
Introduction: Chest Pain
4 m.Case 1 - Pneumothorax on Chest X-ray
3 m.Case 2 - Pneumothorax without Tension
3 m.Case 3 - Pneumothorax with Tension
2 m.Case 4 - Pneumothorax on Chest CT
6 m.Pneumothorax - Summary
3 m.Case 5 - Pericardial Effusion
10 m.Pericardial Effusion - Summary
4 m.Chest Pain Lesson Reinforcement Quiz
11 topics, 54 min.
Introduction: Shortness of Breath
2 m.Case 1 - Pulmonary Embolism - Approach to CT Pulmonary Angiography
8 m.Case 2 - Pulmonary Embolism
6 m.Pulmonary Embolism - Summary
4 m.Case 3 - Pulmonary Edema
3 m.Case 4 - Suspected Pulmonary Edema with CT for Differential
7 m.Case 5 - Importance of Search Pattern in Cases with Multiple Findings
8 m.Case 6 - History of Asthma
7 m.Case 7 - Lymphoma
8 m.Case 8 - Malignancy
6 m.Shortness of Breath Reinforcement Quiz
7 topics, 27 min.
6 topics, 23 min.
9 topics, 36 min.
Introduction: Lines & Tubes
2 m.Case 1 - Orogastric Tubes
14 m.Introduction: Foreign Bodies
2 m.Case 2 - Foreign Body
3 m.Case 3 - Esophageal Foreign Body
4 m.Case 4 - Esophageal Perforation
10 m.Case 5 - Edge of Film - Myocardial Infarction Incidental
3 m.Myocardial infarction - Summary
4 m.Miscellaneous Reinforcement Quiz
0:01
And this is another companion case.
0:02
And so, again, when we look at the lung fields,
0:05
we see a paucity of lung markings here in the left lung with a totally
0:09
collapsed left lung here along the mediastinum. We do see lung markings along the right.
0:16
But different from the other cases that we've discussed,
0:18
when we look the midline structure,
0:20
so the airway, and line it up along the spine, it's off center.
0:24
So here, we also see that the distance
0:27
between the ribs is actually a little asymmetric.
0:30
So this is a case where we do have a very large pneumothorax with tension, pushing
0:35
structures, midline structures to the right.
0:38
So again, in terms of the work that we normally do,
0:40
we will measure our apical air gap and we're getting about twelve to 13cm.
0:47
We can also get the lateral aspect which measures another 4.5cm.
0:53
So we have large tension pneumothorax pushing things to the right.
0:57
We also want to make sure that we remember to look at our other structures.
1:01
So we've talked about the airway. Looking at the heart,
1:04
it's not enlarged, but it is obscured and a little bit hard to find,
1:08
in terms of the silhouettes and the shadows, given everything that's going on.
1:11
We'll take a look at the osseous structures, so we want to make sure
1:15
that we're looking at the ribs, that they are intact.
1:18
Take a look at the clavicles,
1:20
the shoulders, the scapula, the visualized portions of the humerus,
1:26
and make sure we're looking at the soft tissues
1:28
and below the diaphragm. Everything else looks fine.
1:32
Large left tension pneumothorax, this is an example.
Interactive Transcript
0:01
And this is another companion case.
0:02
And so, again, when we look at the lung fields,
0:05
we see a paucity of lung markings here in the left lung with a totally
0:09
collapsed left lung here along the mediastinum. We do see lung markings along the right.
0:16
But different from the other cases that we've discussed,
0:18
when we look the midline structure,
0:20
so the airway, and line it up along the spine, it's off center.
0:24
So here, we also see that the distance
0:27
between the ribs is actually a little asymmetric.
0:30
So this is a case where we do have a very large pneumothorax with tension, pushing
0:35
structures, midline structures to the right.
0:38
So again, in terms of the work that we normally do,
0:40
we will measure our apical air gap and we're getting about twelve to 13cm.
0:47
We can also get the lateral aspect which measures another 4.5cm.
0:53
So we have large tension pneumothorax pushing things to the right.
0:57
We also want to make sure that we remember to look at our other structures.
1:01
So we've talked about the airway. Looking at the heart,
1:04
it's not enlarged, but it is obscured and a little bit hard to find,
1:08
in terms of the silhouettes and the shadows, given everything that's going on.
1:11
We'll take a look at the osseous structures, so we want to make sure
1:15
that we're looking at the ribs, that they are intact.
1:18
Take a look at the clavicles,
1:20
the shoulders, the scapula, the visualized portions of the humerus,
1:26
and make sure we're looking at the soft tissues
1:28
and below the diaphragm. Everything else looks fine.
1:32
Large left tension pneumothorax, this is an example.
Report
Faculty
Jamlik-Omari Johnson, MD, FASER
Chair, Department of Radiology
University of Southern California
Tags
X-Ray (Plain Films)
Trauma
Syndromes
Pleural
Mediastinum
Lungs
Infectious
Idiopathic
Iatrogenic
Emergency
Chest
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