RSNA 2019

Abstract Archives of the RSNA, 2019


CH213-ED-SUA5

Finding Hemo: Imaging in Hemoptysis

Sunday, Dec. 1 12:30PM - 1:00PM Room: CH Community, Learning Center Station #5



Awards
Certificate of Merit
Identified for RadioGraphics

Participants
Kaitlin Marquis, MD, Saint Louis, MO (Presenter) Nothing to Disclose
Constantine A. Raptis, MD, Saint Louis, MO (Abstract Co-Author) Nothing to Disclose
Santiago E. Rossi, MD, Buenos Aires City, Argentina (Abstract Co-Author) Speaker, Boehringer Ingelheim GmbH; Speaker, Novartis AG
Daniel D. Picus, MD, Saint Louis, MO (Abstract Co-Author) Nothing to Disclose
Sanjeev Bhalla, MD, Saint Louis, MO (Abstract Co-Author) Panelist, Precisa Gravimetrics SA

TEACHING POINTS

1. Review the clinical definition of hemoptysis2. Discuss how CT can be used in the evaluation of patients with hemoptysis3. Introduce treatment strategies employed in the management of patients with hemoptysis

TABLE OF CONTENTS/OUTLINE

1. Hemoptysis - clinical definition2. Etiologies of hemoptysis A. Infections i. Bacterial ii. Mycobacterial iii. Fungal B. Bronchiectasis C. Malignancies D. Fistulae E. Vasculitis F. Pulmonary embolism G. Fibrosing mediastinitis H. Anticoagulation I. Dieulafoy lesion J. Bronchitis and anthracosis3. CT in the diagnosis of hemoptysis A. Technique B. Identifying source i. Bronchial ii. Pulmonary iii. Other systemic C. Indirect signs i. Focal tree-in-bud ii. Ground glass and consolidation iii. Enlarged/increased number of arteries iv. Focal enhancing pleural thickening D. Direct signs i. Blush or extravasation ii. Culprit lesion iii. Ground glass surrounding aneurysm or enlarged vessels iv. Irregular pulmonary artery or aorta, particularly with abutment of bronchial tree4. Treatment options A. Angiogram with embolization B. Surgery

Printed on: 03/01/22