Iatrogenic

An iatrogenic disorder is 

characterized by …..

caused by ..etiology or predisposing factors

resulting in a pathological feature (structural change or functional change)  or clinical feauture

Sometimes complicated by ….

Diagnosis is suspected clinically by … and confirmed by ….

Imaging includes the use of

Treatment options depend on …. but includes …..

Etymology if available

Principles

 

Inflammation  – Acute Drug Reaction

Acute Pneumonitis Secondary to Chemotherapy – Drug Reaction
47095 lung chest fx lobar infiltrates fx air bronchogram dx chemotherapy related pneumonitis acute inflammation CTscan Davidoff MD

 

Did the Surgeon LEave Anything in the Chest?
49676a01.800 hx age 88M abdomen chest fx reticular density right paraaortic region post op AVR and CABG chest tubes ECG leads dx retained sponge iatrogenic disease Courtsesy Ashley Davdioff MD

 

Did the Surgeon LEave Anything in the Chest?
49676a01.800 49676c01 hx age 88M abdomen chest fx reticular density right paraaortic region post op AVR and CABG chest tubes ECG leads dx retained sponge iatrogenic disease Courtsesy Ashley Davdioff MD

 

Cushing’s Syndrome – Iatrogenic
71194c01 hx patient being treated on steroids abdomen pericardium mediastinum fat adipoase tissue centripetal centripedal distribution of adiposity pericardial fat mediastinal fat rotund shape size accumulation rounded dx Cushings syndrome iatrogenic CTscan #D volume rendering surface rendering Davidoff MD abdominal fat adiposity

 

 

Iatrogenic Pseudoaneurysm
35869c02 abdomen abdominal aorta Harrington rods spine spinal surgery iatrogenic false aneurysm a= hardware b = early phase aortogram c = mid phase aortogram d = aneurysm e = pseudoaneurysm f = contrast retained in pseudoaneurysm aortography lipiodol myelographic contrast dx pseudoaneurysm traumatic aortography Courtesy LAura Feldman MD

 

Thrombin Injection into Pseudoaneurysm of Femoral Artery
75818c03 artery femoral artery pseudoaneurysm partially thrombosed a = color flow in left side of pseudoaneurysm b = needle (white arrow) before injection c = needle (white arrow) after injection d = post thrombin injection with pseudoaneurysm thrombosed USscan doppler dx pseudoaneurysm Courtesy Scott Tsai MD Ashley DAvidoff MD

 

Pulmonary Venous Infarction Secodary to RFA Ablation
75413c06 26 male SOB s/p RFA ablation for atrial fibrillation lung pulmonary let upper lobe pulmonary vein thrombosed secondary lobule interlobular septa are thickened secondary lobule destroyed dx pulmonary vein thrombosis secondary to radiofrequency ablation therapy iatrogenic CTscan Courtesy Ashley Davidoff MD Scott Tsai MD ground glass changes pulmonary infarction venous infarction

 

 

“Hot” Pellet Emboli
29676b.8s 56 year old male with prostate carcinoma has radiation seeds implanted into the prostate gland A chest X-ray following the procedure shows at least 4 of the seeds in the base of the right lung and 2 of the seeds in the mid left lung field. An azygous lobe is of incidental note. embolus emboli XRT radiation seeds prostate prostate carcinoma treatment complication iatrogenic radiologists and detectives acuity comprehension Courtesy Ashley Davidoff MD copyright 2009 all rights reserved

 

Iatrogenic Embolization of Radiation Seeds from the Prostate
29676c05.8s 56 year old male with prostate carcinoma has radiation seeds implanted into the prostate gland as seen by the radioopaque pellets in the prostate gland in image a. A chest X-ray following the procedure shows at least 4 of the seeds in the base of the right lung and 2 of the seeds in the mid left lung field overlaid in green (c). Image d is a magnification of the right lower lobe and the seeds are overlaid in green in image e. embolus emboli XRT radiation seeds prostate prostate carcinoma treatment complication iatrogenic Courtesy Ashley Davidoff MD copyright 2009 all rights reserved