Lesson 1CT features a primary lung malignancy: spiculated nodule, mass, cavitation, central vs peripheral locationReviews hallmark CT appearances a primary lung cancers, includin nodule an mass morphology, margins, cavitation, an location, an explains how dese features relate to histologic subtype, aggressiveness, an potential resectability.
Solid, subsolid, and ground-glass nodulesSpiculation, lobulation, and marginsCavitation and air bronchograms in tumorsCentral versus peripheral tumor patternsEndobronchial and perihilar massesCT clues to histologic subtypeLesson 2Reporting structure: Technique, Findings, Impression, an Recommendations tailored to lung cancerExplains how to structure lung cancer CT reports, detailin technique documentation, organized description a thoracic findings, clear impression statements, an specific, evidence-based management recommendations fi referrers.
Essential CT technique documentationOrganizing lung and mediastinal findingsDescribing nodules, masses, and invasionStandardized language for impressionsActionable recommendations and follow-upCommunicating uncertainty and limitationsLesson 3Staging basics pon CT (TNM elements visible pon CT) an when to recommend PET/CT or biopsyIntroduces CT-based TNM concepts fi lung cancer, detailin visible T, N, an M features, common staging pitfalls, an when CT findings should prompt PET/CT, tissue sampling, or referral to a multidisciplinary tumor board.
CT assessment of primary tumor T stageNodal disease patterns relevant to N stageDetecting distant metastases on CTCommon CT staging pitfalls and trapsIndications for PET/CT after CTWhen to recommend biopsy or bronchoscopyLesson 4Pulmonary metastases vs primary tumor: radiologic distinctionsCompares CT appearances a pulmonary metastases wid primary lung cancers, highlightin distribution, number, morphology, an ancillary findings dat favor one diagnosis over di odda, an discussin di role a clinical context.
Typical patterns of pulmonary metastasesSolitary metastasis versus primary cancerCalcified and hemorrhagic metastasesLymphangitic carcinomatosis featuresRole of known extrathoracic malignancyWhen imaging cannot distinguish originLesson 5Imaging anatomy a lungs, mediastinum, an pleura pon CTProvides a focused review a normal CT anatomy a lungs, mediastinum, an pleura, usin axial, coronal, an sagittal planes to build a mental map dat supports accurate localization an characterization a thoracic abnormalities.
Lobar and segmental lung anatomyHilar and mediastinal compartment layoutMajor airways and bronchial treePulmonary arteries and veins on CTPleural reflections and recessesUsing multiplanar reformats for anatomyLesson 6CT acquisition protocols an contrast phases fi chest imagingDetails chest CT acquisition choices fi lung cancer workup, includin slice thickness, reconstruction kernels, contrast timin, an special protocols such as high-resolution an angiographic studies dat influence lesion detection an characterization.
Non-contrast versus contrast-enhanced CTArterial and venous phase chest imagingSlice thickness and reconstruction kernelsBreath-hold and motion artifact controlHigh-resolution CT in lung evaluationDose optimization and iterative methodsLesson 7Associated findings: atelectasis, post-obstructive pneumonia, bronchiectasis, an emphysemaDescribes CT findings commonly associated wid lung cancer, such as atelectasis, post-obstructive infection, bronchiectasis, an emphysema, an explains how dese influence detection, staging, an surgical or radiation plannin.
Obstructive and compressive atelectasisPost-obstructive pneumonia patternsTraction and cylindrical bronchiectasisEmphysema patterns and tumor detectionAir trapping and small airway diseaseImpact on treatment planning and riskLesson 8Patterns a local invasion: chest wall, mediastinum, pleura, an vascular involvementOutlines CT patterns a local tumor spread to chest wall, mediastinum, pleura, an vessels, emphasizin imaging signs a invasion, pitfalls dat mimic extension, an implications fi staging, operability, an multidisciplinary management.
Chest wall and rib invasion criteriaMediastinal fat plane obliterationPericardial and cardiac involvementPleural thickening and nodularityGreat vessel encasement and narrowingDistinguishing adhesion from invasionLesson 9Common mimics an pitfalls pon chest CT (infectious mass-like consolidation, organizing pneumonia, granulomatous disease)Covers infectious an inflammatory entities dat resemble lung cancer pon CT, emphasizin imaging clues, clinical correlation, an follow-up strategies to avoid mislabelin benign disease as malignancy or missin an underlying tumor.
Mass-like bacterial pneumonia patternsCT features of organizing pneumoniaGranulomatous nodules and massesTuberculosis and fungal infection cluesFollow-up and response assessmentRed flags suggesting hidden cancerLesson 10Lymph node assessment: stations, size criteria, an extranodal signsCovers systematic CT evaluation a thoracic lymph nodes, includin nodal station mappin, size an morphology criteria, extranodal extension signs, an limitations a CT alone inna predictin malignant involvement.
Nodal station maps and landmarksShort-axis size thresholds by regionMorphologic signs of malignant nodesExtranodal extension and fat strandingReactive versus malignant adenopathyWhen to suggest EBUS or mediastinoscopy