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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.
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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)
Register for free live board reviews.
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
Here's some examples of four.
0:02
A airway nodules.
0:04
Again, three examples here of baseline screens
0:07
and then one that is new on an annual screen.
0:10
Here's an endobronchial nodule in the distal
0:13
left main bronchus.
0:14
It's larger than the last example I showed you.
0:17
It has acute angles with the edge of the airway.
0:20
It does not contain low density or areas of air bubbles.
0:24
Here's another one in a proximal segmental bronchus.
0:27
Same imaging features no endo,
0:30
bronchial air, not low density.
0:32
And then this other example,
0:34
a very small endobronchial nodule.
0:36
Some people would say that's really not even a nodule.
0:39
It's probably just air in the airway.
0:42
It was called a negative screen,
0:44
but you can see this subtle little thickening here compared
0:47
to the other cartilage rings.
0:49
I wouldn't expect anybody
0:50
to call this one an abnormal airway,
0:52
and I know in my interpretations I would not identify
0:56
this little tiny nodular focus.
0:58
I would consider just a cartilage ring
1:00
or a little air of secretion.
1:01
So the interpretation of baseline CT screen
1:05
as a negative screen is completely reasonable.
1:07
The patient comes back on their annual screen
1:10
and we see this filling defect, the location of
1:13
that really tiny, subtle abnormality.
1:15
This is still a four airway nodule.
1:18
It's in a subsegmental bronchus, so still lung rats four A.
1:22
We're gonna call the patient back in three months
1:25
to look at each one of these abnormalities.
1:28
Again, this little one is only seen in retrospect at the
1:31
location where we now see it,
1:33
but we wanna make a check on these all at three months
1:36
to make sure they go away.
1:37
And if they don't, we're gonna do just like the last case,
1:40
elevate those to lung branch four Bs
1:42
and move them on to be seen
1:43
by a pulmonary medicine physician with bronchoscopy
1:46
as the next test.
LungRADS 4A - Airway Nodules
HIDEInteractive Transcript
0:00
Here's some examples of four.
0:02
A airway nodules.
0:04
Again, three examples here of baseline screens
0:07
and then one that is new on an annual screen.
0:10
Here's an endobronchial nodule in the distal
0:13
left main bronchus.
0:14
It's larger than the last example I showed you.
0:17
It has acute angles with the edge of the airway.
0:20
It does not contain low density or areas of air bubbles.
0:24
Here's another one in a proximal segmental bronchus.
0:27
Same imaging features no endo,
0:30
bronchial air, not low density.
0:32
And then this other example,
0:34
a very small endobronchial nodule.
0:36
Some people would say that's really not even a nodule.
0:39
It's probably just air in the airway.
0:42
It was called a negative screen,
0:44
but you can see this subtle little thickening here compared
0:47
to the other cartilage rings.
0:49
I wouldn't expect anybody
0:50
to call this one an abnormal airway,
0:52
and I know in my interpretations I would not identify
0:56
this little tiny nodular focus.
0:58
I would consider just a cartilage ring
1:00
or a little air of secretion.
1:01
So the interpretation of baseline CT screen
1:05
as a negative screen is completely reasonable.
1:07
The patient comes back on their annual screen
1:10
and we see this filling defect, the location of
1:13
that really tiny, subtle abnormality.
1:15
This is still a four airway nodule.
1:18
It's in a subsegmental bronchus, so still lung rats four A.
1:22
We're gonna call the patient back in three months
1:25
to look at each one of these abnormalities.
1:28
Again, this little one is only seen in retrospect at the
1:31
location where we now see it,
1:33
but we wanna make a check on these all at three months
1:36
to make sure they go away.
1:37
And if they don't, we're gonna do just like the last case,
1:40
elevate those to lung branch four Bs
1:42
and move them on to be seen
1:43
by a pulmonary medicine physician with bronchoscopy
1:46
as the next test.
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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