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Images

20

Evaluation of chronic cough

Flow-volume loop (spirogram) in obstructive lung disease, such as asthma or COPD: peak expiratory flow may be normal, but a concave shape is seen following the point of maximal flow due to the low flow rate in relation to lung volume

Created by BMJ Knowledge Centre

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1

Evaluation of chronic cough

Chest x-ray showing bilateral hilar adenopathy in a patient with sarcoidosis

From the personal collection of Dr M.P. Muthiah, Division of Pulmonary and Critical Care and Sleep Medicine, University of Tennessee

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2

Evaluation of chronic cough

Chest x-ray showing multiple miliary lung metastases (arrows). The primary tumor was a thyroid carcinoma

E. Dick, Student BMJ. 2001;9:10-12

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4

Evaluation of chronic cough

Chest x-ray showing a cavitating right hilar carcinoma (arrow)

E. Dick, Student BMJ. 2001;9:10-12

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17

Evaluation of chronic cough

Chest CT showing idiopathic pulmonary fibrosis

From the personal collection of Dr J.C. Munson, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine

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14

Evaluation of chronic cough

Chest CT with presence of signet ring on left in a patient with bronchiectasis

From the personal collection of Dr S.M. Bhorade, University of Chicago Medical Center

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6

Evaluation of chronic cough

Chest x-ray showing pulmonary tuberculosis with cavitation

From the personal collection of Dr M. Narita, Department of Pulmonary and Critical Care Medicine, University of Washington

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8

Evaluation of chronic cough

Chest x-ray with lack of normal tapering producing a tram line in a patient with bronchiectasis

From the personal collection of Dr S.M. Bhorade, University of Chicago Medical Center; used with permission

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9

Evaluation of chronic cough

Chest x-ray with dilated and thickened airways in a patient with bronchiectasis

From the personal collection of Dr S.M. Bhorade, University of Chicago Medical Center; used with permission

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16

Evaluation of chronic cough

CT of the chest with intravenous contrast material showing complete left lower lobe collapse with a radiopaque object within the left lower main bronchus surrounded by a halo of air

BMJ Case Reports 2008 (doi:10.1136/bcr.06.2008.0013). Copyright 2008 BMJ Publishing Group Ltd

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13

Evaluation of chronic cough

A. Portable upright chest x-ray before aspiration; B. Chest x-ray 1 hour after aspiration, showing bilateral diffuse alveolar infiltrates, worse at the bases on the right side

From the personal collection of Dr S. Murgu and Dr H. Colt, University of California at Irvine Medical Center

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3

Evaluation of chronic cough

Chest x-ray showing left hilar carcinoma (arrow)

From: E. Dick, Student BMJ. 2000;8:358-360

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11

Evaluation of chronic cough

Chest x-ray showing early ill-defined opacities of the right upper lobe above the minor fissure consistent with early changes of aspiration pneumonia

From the personal collection of Dr R. Kanner, University of Utah School of Medicine

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19

Evaluation of chronic cough

Bronchoscopy image showing a loquat seed completely occluding the bronchus intermedius

From the personal collection of Dr S. Murgu and Dr H. Colt, University of California at Irvine Medical Center

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7

Evaluation of chronic cough

Chest x-ray showing multiple discrete nodules throughout both lungs (one of which is circled) in a patient with miliary tuberculosis

E. Dick, Student BMJ. 2001;9:10-12

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12

Evaluation of chronic cough

Portable chest x-ray with bibasilar opacities, worse on the right than the left, in a patient with hospital-acquired pneumonia

From the personal collection of Dr F.W. Arnold, Division of Infectious Diseases, Department of Medicine, University of Louisville School of Medicine

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21

Evaluation of chronic cough

Flow-volume loop (spirogram) in restrictive lung disease (e.g., interstitial pulmonary fibrosis): peak expiratory flow may be normal or low. The shape of the curve is generally normal, but the loop is narrowed and the forced vital capacity is low because of the reduced lung volume.

Created by BMJ Knowledge Centre

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18

Evaluation of chronic cough

Chest CT of a patient with amiodarone pulmonary toxicity, showing asymmetric opacities with a peripheral distribution

From the personal collection of Dr A. Pataka and Professor P. Argyropoulou, Aristotle University, Thessaloniki, Greece

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5

Evaluation of chronic cough

Chest x-ray in a patient with bronchogenic carcinoma showing a left-sided pleural effusion

From: R. Thakkar, Student BMJ. 2001;9:458

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15

Evaluation of chronic cough

Chest CT with dilated and thickened airways and peripheral tree-in-bud pattern in a patient with bronchiectasis

From the personal collection of Dr S.M. Bhorade, University of Chicago Medical Center; used with permission

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10

Evaluation of chronic cough

Chest x-ray showing increased opacification of the right perihilar region and superior segment of the right lower and upper lobes consistent with worsening aspiration pneumonia

From the personal collection of Dr R. Kanner, University of Utah School of Medicine

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