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Outcomes and complications are reported as per the Reporting Standards for Endovascular Treatment of Pulmonary Embolism. Results: CDT was technically successful in 100% (n¼45) of patients. Main pulmonary artery pressure significantly decreased from 49.8 mm to 31.1 mm (po0.0001). Right ventricle dysfunction significantly improved with mean RV/ LV ratios decreasing from 1.59 to 0.93 (po0.0001). There were 6 complications: 4 minor bleeding episodes at access sites, and 2 major bleeding complications (flank and arm hematoma). All cause mortality at 30 days was 0%. There were no re-admissions for PE at 30 days after discharge in all patients. Conclusion: CDT is a safe and efficacious method in the treatment of SPE to reduce acute pulmonary hypertension and RVD. Using a standardized protocol for pulmonary thrombolysis may allow for more widespread adoption of interventional therapy.

Rationale and Objectives: Cystic lung disease may be accurately diagnosed by imaging interpretation of specialist radiologists, without other information. We hypothesized that with minimal training non-specialists could perform similarly to specialist physicians in the diagnosis of cystic lung disease. Methods: 72 cystic lung disease cases and 25 cystic lung disease mimics were obtained from three sources: 1) a prospective acquired diffuse lung disease registry, 2) a retrospective search of medical records and 3) teaching files. Cases were anonymized, randomized and interpreted by 7 diffuse lung disease specialists and 15 non-specialist radiologists and pulmonologists. Clinical information other than age and sex was not provided. Prior to interpretation, non-specialists viewed a short PDF training document explaining cystic lung disease interpretation. Results: Correct first choice diagnosis of 85% -88% may be achieved by high-performing specialist readers and 71% -80% by non-specialists and lower-performing specialists, with mean accuracies in the diagnosis of LAM (91%, p < 0.0001), BHD (93%, p < 0.0001), PLCH (89%, p < 0.0001) and LIP (92%, p < 0.0001). A strategy based on cyst appearance: simple cysts (LAM), peri-septal cysts (BHD), bizarre-shaped cysts (PLCH) and vascular indented cysts (LIP) gave non-specialists accuracies of 90% (p < 0.0001), 94% (p < 0.0001

Review of prior imaging studies, in addition to other pertinent clinical data, should result in a significant reduction in the number of unnecessary renal US examinations performed in patients with abnormal renal function. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 45:537-541, 2017.

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