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Imaging Course of Lung Transplantation: From Patient Selection to Postoperative Complications

Kim, Stacy J; Azour, Lea; Hutchinson, Barry D; Shirsat, Hemlata; Zhou, Fang; Narula, Navneet; Moreira, Andre L; Angel, Luis; Ko, Jane P; Moore, William H
Lung transplant is increasingly performed for the treatment of end-stage lung disease. As the number of lung transplants and transplant centers continues to rise, radiologists will more frequently participate in the care of patients undergoing lung transplant, both before and after transplant. Potential donors and recipients undergo chest radiography and CT as part of their pretransplant assessment to evaluate for contraindications to transplant and to aid in surgical planning. After transplant, recipients undergo imaging during the postoperative hospitalization and also in the long-term outpatient setting. Radiologists encounter a wide variety of conditions leading to end-stage lung disease and a myriad of posttransplant complications, some of which are unique to lung transplantation. Familiarity with these pathologic conditions, including their imaging findings and their temporal relationship to the transplant, is crucial to accurate radiologic interpretation. Knowledge of the surgical techniques and expected postoperative appearance prevents confusing normal posttransplant imaging findings with complications. A basic understanding of the indications, contraindications, and surgical considerations of lung transplant aids in imaging interpretation and protocoling and also facilitates communication between radiologists and transplant physicians. Despite medical and surgical advances over the past several decades, lung transplant recipients currently have an average posttransplant life expectancy of only 6.7 years. As members of the transplant team, radiologists can help maximize patient survival and hopefully increase posttransplant life expectancy and quality of life in the coming decades. ©RSNA, 2021 An invited commentary by Bierhals is available online. Online supplemental material is available for this article.
PMID: 34197245
ISSN: 1527-1323
CID: 4926882

Atypical appearance of elastofibroma dorsi at thoracotomy sites: a case series and review of the literature [Case Report]

Girvin, Francis; Hoda, Syed; Kim, Stacy
Thus far, only a single case describing an atypical appearance of elastofibroma dorsi at a prior thoracotomy site has been published in the literature. We describe a series of three cases recently imaged at our institution with the same atypical appearance, in order to highlight and increase recognition of this more unusual morphology in post-operative patients.
PMCID:7527012
PMID: 33029376
ISSN: 2055-7159
CID: 4629972

Sir Arthur Conan Doyle : the physician behind Sherlock Holmes

Kim, Stacy J
ORIGINAL:0013269
ISSN: 0031-7179
CID: 3642392

The role of computed tomography in following up pediatric skull fractures

Zulfiqar, Maria; Kim, Stacy; Lai, Jin-Ping; Zhou, Yihua
BACKGROUND:Despite the added radiation exposure and costs, the role of computed tomography (CT) in following pediatric skull fractures has not been fully evaluated. METHODS:We reviewed the radiology reports and images of the initial and follow-up head CT examinations of children with skull fractures to determine whether any interval changes in the fracture morphology and associated complications necessitate a change in clinical management. RESULTS:A total of 316 pediatric cases of skull fractures were identified, including 172 patients with and 144 without follow-up scans. At follow-up, 7% of skull fractures were unchanged, 65% healing, and 28% healed. No patient showed findings to cause a change in clinical management or a need for further medical or surgical intervention regardless of the number and patterns of the fractures or the initial intracranial complications such as intracranial hemorrhage, pneumocephalus, and traumatic brain injuries. CONCLUSIONS:Head CT may be unnecessary in following pediatric skull fractures in asymptomatic patients to avoid added radiation exposure and cost.
PMID: 27614418
ISSN: 1879-1883
CID: 3220362