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.
Continuing Medical Education (State CME)
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.
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.
Continuing Medical Education (State CME)
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
Let's look at some of the more
0:02
concerning endobronchial nodules.
0:04
Things in the airways that we get concerned could be cancer.
0:08
This is an example of a baseline lung cancer screening CT
0:11
where we see a small smoothly marginated endobronchial
0:15
nodule that was soft tissue density
0:17
and measured that by Hamilton unit measurements.
0:20
It is mural adherent, something we typically see
0:23
with secretions, but we can also see it
0:25
with endobronchial nodules that turn out to be cancer.
0:29
And note we don't have any air within it.
0:31
We don't have that really important sign given its location
0:35
and its presence on a baseline ct.
0:37
The recommendation is a lung ran four A,
0:40
so the patient is called back in three months
0:42
for their interval low dose CT exam,
0:45
and we can see it is in the exact same place.
0:48
It hasn't gone away
0:49
where you would expect secretions to occur.
0:51
So now we're concerned this is a true endo
0:53
bronchial neoplasm.
0:55
It gets upcoded to lung ran four B,
0:58
and the recommendation is that the patients be seen
1:00
by pulmonary medicine.
1:02
Bronchoscopy is usually the next actionable step
1:05
to take a look at this lesion
1:06
to potentially biopsy this lesion.
1:09
Some of the most common benign endo bronchial tumors
1:12
that we see like this smoothly marginated, relatively small,
1:16
are carcinoid tumors.
1:18
It can have a very characteristic pattern on bronchoscopy
1:21
where they're very bright, cherry red,
1:22
and have lots of vascularity on the surface.
1:25
A typical appearance to a bronchoscopist
1:27
of a benign carcinoid tumor.
1:30
But there are certainly other endo bronchial tumors
1:32
that can occur such as endobronchial, hematomas,
1:35
and other lesions such as squamous cell carcinomas
1:38
of the lung.
LungRADS 4B - Airway Nodule
HIDEInteractive Transcript
0:00
Let's look at some of the more
0:02
concerning endobronchial nodules.
0:04
Things in the airways that we get concerned could be cancer.
0:08
This is an example of a baseline lung cancer screening CT
0:11
where we see a small smoothly marginated endobronchial
0:15
nodule that was soft tissue density
0:17
and measured that by Hamilton unit measurements.
0:20
It is mural adherent, something we typically see
0:23
with secretions, but we can also see it
0:25
with endobronchial nodules that turn out to be cancer.
0:29
And note we don't have any air within it.
0:31
We don't have that really important sign given its location
0:35
and its presence on a baseline ct.
0:37
The recommendation is a lung ran four A,
0:40
so the patient is called back in three months
0:42
for their interval low dose CT exam,
0:45
and we can see it is in the exact same place.
0:48
It hasn't gone away
0:49
where you would expect secretions to occur.
0:51
So now we're concerned this is a true endo
0:53
bronchial neoplasm.
0:55
It gets upcoded to lung ran four B,
0:58
and the recommendation is that the patients be seen
1:00
by pulmonary medicine.
1:02
Bronchoscopy is usually the next actionable step
1:05
to take a look at this lesion
1:06
to potentially biopsy this lesion.
1:09
Some of the most common benign endo bronchial tumors
1:12
that we see like this smoothly marginated, relatively small,
1:16
are carcinoid tumors.
1:18
It can have a very characteristic pattern on bronchoscopy
1:21
where they're very bright, cherry red,
1:22
and have lots of vascularity on the surface.
1:25
A typical appearance to a bronchoscopist
1:27
of a benign carcinoid tumor.
1:30
But there are certainly other endo bronchial tumors
1:32
that can occur such as endobronchial, hematomas,
1:35
and other lesions such as squamous cell carcinomas
1:38
of the lung.
Report
Faculty
Ella A. Kazerooni, MD, MS
Professor of Radiology, Cardiothoracic Division
University of Michigan
Tags
Oncologic Imaging
Neoplastic
Lungs
Chest
CT
© 2026 Medality. All Rights Reserved.
