You are on page 1of 46

Figure 3A: <p> Figure 3a.

  Abnormal-appearing anterior junction line in a patient who had undergone a right middle lobectomy. (a) Frontal chest radiograph shows the
anterior junction line (arrows) displaced to the right. Note also the volume loss in the right lung as demonstrated by elevation of the right hemidiaphragm. (b) CT scan helps
confirm rightward displacement of the anterior junction line (arrow) with volume loss in the right lung. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 3B: <p> Figure 3b.  Abnormal-appearing anterior junction line in a patient who had undergone a right middle lobectomy. (a) Frontal chest radiograph shows the
anterior junction line (arrows) displaced to the right. Note also the volume loss in the right lung as demonstrated by elevation of the right hemidiaphragm. (b) CT scan helps
confirm rightward displacement of the anterior junction line (arrow) with volume loss in the right lung. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 4A: <p> Figure 4a.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal posterior junction line (black lines in a, arrows in b) as a straight line
projecting through the trachea and extending above the clavicles. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 4B: <p> Figure 4b.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal posterior junction line (black lines in a, arrows in b) as a straight line
projecting through the trachea and extending above the clavicles. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 5: <p>  CT scan demonstrates a normal posterior junction line (arrow), which lies posterior to the esophagus and is formed by the apposition of the visceral and
parietal pleura of the lungs anterior to the thoracic vertebrae. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 6A: <p> Figure 6a.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal right paratracheal stripe (black line in a, arrows in b). </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 6B: <p> Figure 6b.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal right paratracheal stripe (black line in a, arrows in b). </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 7: <p>  CT scan shows that the right paratracheal stripe (arrow) is formed by air within the right upper lobe and trachea outlining the right lateral tracheal wall,
right upper lobe pleura, and intervening soft tissues. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 8A: <p> Figure 8a.  Abnormal right paratracheal stripe caused by a large ectopic parathyroid adenoma in a 52-year-old man. (a) Frontal chest radiograph
demonstrates widening of the right paratracheal stripe (arrow). (b) CT scan helps confirm a large right paratracheal mass (arrow) with diffuse osteopenia from primary
hyperparathyroidism. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 8B: <p> Figure 8b.  Abnormal right paratracheal stripe caused by a large ectopic parathyroid adenoma in a 52-year-old man. (a) Frontal chest radiograph
demonstrates widening of the right paratracheal stripe (arrow). (b) CT scan helps confirm a large right paratracheal mass (arrow) with diffuse osteopenia from primary
hyperparathyroidism. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 9A: <p> Figure 9a.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal left paratracheal stripe (black line in a, arrows in b) extending from the
aortic arch to join with the reflection from the left subclavian artery superiorly. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 9B: <p> Figure 9b.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal left paratracheal stripe (black line in a, arrows in b) extending from the
aortic arch to join with the reflection from the left subclavian artery superiorly. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 10A: <p> Figure 10a.  Abnormal-appearing left paratracheal stripe in a 47-year-old patient with metastatic thyroid carcinoma. (a) Frontal chest radiograph
demonstrates widening of the left paratracheal stripe (arrows) with mass effect on the trachea. (b) CT scan reveals a large thyroid mass (arrow) and associated
supraclavicular lymphadenopathy. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 10B: <p> Figure 10b.  Abnormal-appearing left paratracheal stripe in a 47-year-old patient with metastatic thyroid carcinoma. (a) Frontal chest radiograph
demonstrates widening of the left paratracheal stripe (arrows) with mass effect on the trachea. (b) CT scan reveals a large thyroid mass (arrow) and associated
supraclavicular lymphadenopathy. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 11A: <p> Figure 11a.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal aortic-pulmonary stripe (black line in a, arrows in b) as a straight
interface crossing the aortic arch and the main pulmonary artery. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 11B: <p> Figure 11b.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal aortic-pulmonary stripe (black line in a, arrows in b) as a straight
interface crossing the aortic arch and the main pulmonary artery. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 12: <p>  CT scan shows a normal aortic-pulmonary stripe (arrows) formed by the anterior left lung contacting and tangentially reflecting over the mediastinal fat
antero-lateral to the left pulmonary artery and aortic arch. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 13A: <p> Figure 13a.  Abnormal-appearing aortic-pulmonary stripe in a 42-year-old patient with lymphoma. (a) Frontal chest radiograph demonstrates abnormal
contour of the aortic-pulmonary stripe (arrows). (b) CT scan shows anterior mediastinal lymphadenopathy (arrows) within the prevascular space. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 13B: <p> Figure 13b.  Abnormal-appearing aortic-pulmonary stripe in a 42-year-old patient with lymphoma. (a) Frontal chest radiograph demonstrates abnormal
contour of the aortic-pulmonary stripe (arrows). (b) CT scan shows anterior mediastinal lymphadenopathy (arrows) within the prevascular space. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 14: <p>  Frontal chest radiograph demonstrates a normal AP window as a shallow concave interface (*) between the aorta and the pulmonary artery. Note the
normal aortic-pulmonary stripe (arrows) and its relation to the AP window. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 15: <p>  CT scan shows the normal AP window (*). The concave interface seen in Figure 14 actually represents the lateral border (arrow) of the AP window formed
by the left lung and pleura contacting the aortic arch and extending to the pulmonary artery. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 16A: <p> Figure 16a.  Abnormal-appearing AP window in a 64-year-old patient with bronchogenic carcinoma. (a) Frontal chest radiograph demonstrates an
abnormal bulge in the AP window (arrow). Thickening of the right paratracheal stripe (*) is also noted, along with left lower lobe consolidation and left pleural effusion. (b)
CT scan shows a significant soft-tissue mass within the AP window and subcarinal space, a finding that is compatible with metastatic lymphadenopathy. Lymphadenopathy in
the paratracheal region was also noted, accounting for the thickened right paratracheal stripe. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 16B: <p> Figure 16b.  Abnormal-appearing AP window in a 64-year-old patient with bronchogenic carcinoma. (a) Frontal chest radiograph demonstrates an
abnormal bulge in the AP window (arrow). Thickening of the right paratracheal stripe (*) is also noted, along with left lower lobe consolidation and left pleural effusion. (b)
CT scan shows a significant soft-tissue mass within the AP window and subcarinal space, a finding that is compatible with metastatic lymphadenopathy. Lymphadenopathy in
the paratracheal region was also noted, accounting for the thickened right paratracheal stripe. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 17A: <p> Figure 17a.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal right paraspinal line (black line in a, arrows in b) as a thin straight line
extending lateral to the thoracic spine. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 17B: <p> Figure 17b.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal right paraspinal line (black line in a, arrows in b) as a thin straight line
extending lateral to the thoracic spine. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 18: <p>  CT scan shows normal right and left paraspinal lines (arrows) formed by the lungs and pleura contacting the posterior mediastinal soft tissues. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 19A: <p> Figure 19a.  Abnormal-appearing right paraspinal line in a 27-year-old patient who had sustained traumatic injury. (a) Frontal chest radiograph
demonstrates an abnormal bulge in the right paraspinal line inferiorly (arrows). (b) CT scan reveals a large mediastinal hematoma (arrow) from multiple right-sided
transverse process fractures of the thoracic spine and an associated right hemothorax. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 19B: <p> Figure 19b.  Abnormal-appearing right paraspinal line in a 27-year-old patient who had sustained traumatic injury. (a) Frontal chest radiograph
demonstrates an abnormal bulge in the right paraspinal line inferiorly (arrows). (b) CT scan reveals a large mediastinal hematoma (arrow) from multiple right-sided
transverse process fractures of the thoracic spine and an associated right hemothorax. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 20A: <p> Figure 20a.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal left paraspinal line (black line in a, arrows in b) as a thin straight line
extending from the aortic arch to the diaphragm. The normal left paraspinal line typically lies medial to the lateral wall of the descending thoracic aorta. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 20B: <p> Figure 20b.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal left paraspinal line (black line in a, arrows in b) as a thin straight line
extending from the aortic arch to the diaphragm. The normal left paraspinal line typically lies medial to the lateral wall of the descending thoracic aorta. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 21A: <p> Figure 21a.  Abnormal-appearing left paraspinal line in a 52-year-old patient with liver cirrhosis and esophageal varices. (a) Frontal chest radiograph
reveals a focal lateral bulge in the left paraspinal line (arrow). (b) CT scan shows extensive esophageal varices (arrow), which are responsible for the abnormal contour of the
left paraspinal line. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 21B: <p> Figure 21b.  Abnormal-appearing left paraspinal line in a 52-year-old patient with liver cirrhosis and esophageal varices. (a) Frontal chest radiograph
reveals a focal lateral bulge in the left paraspinal line (arrow). (b) CT scan shows extensive esophageal varices (arrow), which are responsible for the abnormal contour of the
left paraspinal line. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 22: <p>  Lateral chest radiograph demonstrates a normal posterior tracheal stripe (arrows) as a thin vertical stripe posterior to the trachea. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 23: <p>  CT scan reveals that the posterior tracheal stripe (arrow) is formed by air within the trachea and right lung outlining the posterior tracheal wall and
intervening soft tissues. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 24A: <p> Figure 24a.  Abnormal posterior tracheal stripe in a 49-year-old patient with achalasia. (a) Lateral chest radiograph shows widening of the posterior
tracheal stripe (arrows). (b) CT scan demonstrates a dilated esophagus (arrow) filled with food and contrast material. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 24B: <p> Figure 24b.  Abnormal posterior tracheal stripe in a 49-year-old patient with achalasia. (a) Lateral chest radiograph shows widening of the posterior
tracheal stripe (arrows). (b) CT scan demonstrates a dilated esophagus (arrow) filled with food and contrast material. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 25A: <p> Figure 25a.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal azygoesophageal recess (black line in a, arrows in b) with mild leftward
convexity superiorly and a straight edge inferiorly. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 25B: <p> Figure 25b.  Illustration (a) and frontal chest radiograph (b) demonstrate a normal azygoesophageal recess (black line in a, arrows in b) with mild leftward
convexity superiorly and a straight edge inferiorly. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 26: <p>  CT scan shows that the azygoesophageal recess (arrow) is an interface formed by the right lower lobe outlining the mediastinum adjacent to the
esophagus and azygos vein. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 27A: <p> Figure 27a.  Abnormal azygoesophageal recess in a patient with a hiatal hernia. (a) On a frontal chest radiograph, the distal third of the azygoesophageal
recess demonstrates an abnormal contour and right lateral convexity (arrows). (b) CT scan shows a large hiatal hernia (arrow) that causes a rightward bulge of the distal
azygoesophageal recess. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 27B: <p> Figure 27b.  Abnormal azygoesophageal recess in a patient with a hiatal hernia. (a) On a frontal chest radiograph, the distal third of the azygoesophageal
recess demonstrates an abnormal contour and right lateral convexity (arrows). (b) CT scan shows a large hiatal hernia (arrow) that causes a rightward bulge of the distal
azygoesophageal recess. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 28: <p>  Frontal chest radiograph demonstrates the normal posterior wall of the bronchus intermedius (arrows) as a thin vertical stripe that projects through the
radiolucent area created by the left upper lobe bronchus. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 29: <p>  CT scan reveals that the stripe representing the posterior wall of the bronchus intermedius (arrow) is formed by lung within the azygoesophageal recess
outlining this posterior wall. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 30: <p>  Abnormal posterior wall of the bronchus intermedius in a 55-year-old patient with pulmonary edema. Lateral chest radiograph demonstrates diffuse
bandlike thickening of the posterior wall of the bronchus intermedius (arrows). </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 3A: <p> Figure 3a.  Abnormal-appearing anterior junction line in a patient who had undergone a right middle lobectomy. (a) Frontal chest radiograph shows the
anterior junction line (arrows) displaced to the right. Note also the volume loss in the right lung as demonstrated by elevation of the right hemidiaphragm. (b) CT scan helps
confirm rightward displacement of the anterior junction line (arrow) with volume loss in the right lung. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007


Figure 1A: <p> Figure 1a.  Illustration (a) and frontal chest radiograph (b) show a normal anterior junction line (black lines in a, arrows in b) coursing obliquely from the
upper right to the lower left over the superior two-thirds of the sternum. </p>

Published in: "Lines and Stripes: Where Did They Go? —From Conventional Radiography to CT"
Gibbs et al.
RadioGraphics Vol. 27, No. 1: 33-48

Copyright RSNA, 2007

You might also like