Felsons Divisions of the Mediastinum

Radiologists divide the mediastinum into 3 compartments. The most popular classification is Felson’s division of the thorax into the following 3 compartments: Anterior: Everything from the sternum to the posterior aspect of the heart and great vessels. Middle: The...

Anterior Mediastinal Mass

There is a large mass in this patient’s anterior mediastinum. The differential diagnosis for such a mass includes: lymphomA lung cancer aortic aneurysm or other vascular abnormality abscess hematoma teratoma, thyroid, parathyroid or thymic neoplasm thymic or...

Reticular Pattern

The reticular appearance refers to a collection of innumerable small linear opacities that together produce an appearance resembling a “net”. The pattern can be fine, medium or coarse. Fine and medium patterns are shown here. Reticular patterns represent...

Peribronchial Cuffing

Peribronchial cuffing (arrow) occurs when interstitial fluid accumulates around a bronchus. Peribronchial cuffing is present if the bronchial wall is thicker than the tracing of a well-sharpened pencil. [Courtesy of Dr. N. Jaffer]

Kerley B Lines

Kerley B lines represent thickened connective tissue planes, for example due to edema of the septal lines of secondary lobules. They are most commonly due to pulmonary edema or lymphangitic carcinomatosis. Kerley B lines are horizontal, <2 cm long and 1 mm thick,...