Imaging plays a central role in the management of patients undergoing lung surgery and/or chemo- and radiotherapy, allowing both to assess the efficacy of the procedures and to identify possible treatment-related complications. The radiologist should be familiar with surgical procedures and postoperative radiological evolution, mechanisms of action of main chemotherapy drugs, and modern applications of radiotherapy, in order to differentiate “normal” anatomy from pathologic treatment-related presentations.
Early post-surgery monitoring is usually managed by chest X-ray, since it is a fast, easy, and cheap tool that allows the assessment of intrathoracic device positioning and the identification of the more frequent intervention-related complications (such as pleural effusion, pneumothorax, and pneumonia), with limited radiation exposure. On the other hand, the evaluation of more complex treatment-related complications unavoidably requires CT imaging.
In this chapter, we focus on the main radiological findings after thoracic surgery, focusing on the “normal” anatomic evolution and on the pathological changes observed in early and late complications.
Lung surgery Chemotherapy Radiotherapy Chest X-ray CT Postsurgical complications
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