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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.
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Complete all of your state CME requirements in one convenient place.
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.
Case Crunch: Rapid Case Review (Free)
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Dr. Resnick's MSK Conference
Learn directly from the MSK Master himself.
Lower Extremities MRI Conference
Musculoskeletal 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.
Compliance
NewTrack, fulfill, and report on all your radiologists' credentialing and licensing requirements.
Emergency Call Prep
Prepare trainees to be on call for the emergency department with this specialized training series.
Lesson
Case Review: Search Pattern
3 topics, 16 min.
Lesson
Case Review: Solid Lung Nodules
6 topics, 24 min.
Introduction to Solid Lung Nodules
6 m.Case: LungRADS 3 - Baseline Screen, Solid Nodule
5 m.Case: LungRADS 3 - Annual Screen, New 4 mm Solid Nodule
3 m.Case: LungRADS 4A - Baseline Screen, Solid Nodule
4 m.Case: LungRADS 4A - Baseline Screen, Solid Nodule With Micronodules
5 m.Case: LungRADS 4B - Baseline Screen, Solid Nodule
4 m.Lesson
Case Review: Non-solid Lung Nodules
4 topics, 16 min.
Lesson
Case Review: Cystic Nodules
4 topics, 24 min.
Lesson
Approach to LungRADS 4X
4 topics, 19 min.
Lesson
Case Review: Part Solid Nodules
4 topics, 19 min.
Lesson
Case Review: Airway Nodules
5 topics, 12 min.
Lesson
Case Review: Approach to Infection
4 topics, 18 min.
Lesson
Incidental Findings: Cardiovascular
5 topics, 28 min.
Lesson
Incidental Findings: Lung Disease
5 topics, 29 min.
Introduction to Incidental Findings in the Lung
8 m.Approach to Incidental Findings in the Lung
7 m.Case: LungRADS S-Modifier - Emphysema and Mucous Plugging
5 m.Case: LungRADS S-Modifier - Respiratory Bronchiolitis - Paraseptal Emphysema, and Bronchiectasis
5 m.Case: LungRADS S-Modifier - Interstitial Lung Abnormality
7 m.Lesson
Incidental Findings: Bone Mineral Density
4 topics, 11 min.
Lesson
Test Your Knowledge
2 topics, 13 min.
0:00
Let's begin with the category two airway nodules.
0:03
These are things that by recognize them as category two,
0:06
we're considering them benign,
0:07
and we'll look at them on the next annual screening exam.
0:11
In the first group here, whether it's in the trachea,
0:14
this large endotracheal nodule,
0:16
which we can see here on the axial image,
0:19
and here on the coronal image, it is adherent
0:22
to the airway wall,
0:24
but it contains numerous bubbles of air within it.
0:27
That is typical of an endobronchial secretion.
0:30
It's low density if you measure it,
0:32
unit measurement on the soft tissue density windows,
0:35
and it has am attenuation of under 21.
0:38
So this is consistent with secretions,
0:41
and you can make the same determination for smaller airways,
0:44
such as this, a segmental branch
0:45
where we see air within the endobronchial filling defect.
0:49
So these are characteristic secretions in the large
0:52
and more peripheral airways.
0:53
That would be lung rats.
0:54
Two come back in one year for annual screening.
0:58
And when we have multiple tubular opacities in the small
1:01
airways, here's an example of the left lower lobe,
1:04
and we can see multiple dilated tubular branching
1:07
structures, so multiple segmental and subsegmental airways.
1:11
Of course, we're gonna look at the more central
1:14
lobar bronchus to this area
1:16
to make sure there's not an endobronchial mass
1:18
or obstructing cancer.
1:19
But when we see this just in the periphery of the lung,
1:22
multiple tubular opacities also favors mucus plugging.
1:26
So in other words, we tried to codify the things
1:28
that you see on chest cts every day
1:30
and put them into the nomenclature of the lung rat schema
1:34
to be able to have consistent recommendations
1:37
for calling these endobronchial nodules.
1:39
No immediate action.
1:41
Come back for annual screening in a year.
LungRADS 2 - Airway Nodules
HIDEInteractive Transcript
0:00
Let's begin with the category two airway nodules.
0:03
These are things that by recognize them as category two,
0:06
we're considering them benign,
0:07
and we'll look at them on the next annual screening exam.
0:11
In the first group here, whether it's in the trachea,
0:14
this large endotracheal nodule,
0:16
which we can see here on the axial image,
0:19
and here on the coronal image, it is adherent
0:22
to the airway wall,
0:24
but it contains numerous bubbles of air within it.
0:27
That is typical of an endobronchial secretion.
0:30
It's low density if you measure it,
0:32
unit measurement on the soft tissue density windows,
0:35
and it has am attenuation of under 21.
0:38
So this is consistent with secretions,
0:41
and you can make the same determination for smaller airways,
0:44
such as this, a segmental branch
0:45
where we see air within the endobronchial filling defect.
0:49
So these are characteristic secretions in the large
0:52
and more peripheral airways.
0:53
That would be lung rats.
0:54
Two come back in one year for annual screening.
0:58
And when we have multiple tubular opacities in the small
1:01
airways, here's an example of the left lower lobe,
1:04
and we can see multiple dilated tubular branching
1:07
structures, so multiple segmental and subsegmental airways.
1:11
Of course, we're gonna look at the more central
1:14
lobar bronchus to this area
1:16
to make sure there's not an endobronchial mass
1:18
or obstructing cancer.
1:19
But when we see this just in the periphery of the lung,
1:22
multiple tubular opacities also favors mucus plugging.
1:26
So in other words, we tried to codify the things
1:28
that you see on chest cts every day
1:30
and put them into the nomenclature of the lung rat schema
1:34
to be able to have consistent recommendations
1:37
for calling these endobronchial nodules.
1:39
No immediate action.
1:41
Come back for annual screening in a year.
Report
Faculty
Ella A. Kazerooni, MD, MS
Professor of Radiology, Cardiothoracic Division
University of Michigan
Tags
Oncologic Imaging
Neoplastic
Lungs
Chest
CT
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