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Imaging diseases of the chest (4th Edn). By D M Hansell, P Armstrong, D A Lynch, H P McAdams. pp. ix+1220, 2005 (Elsevier Mosby, London, UK) £175.00 ISBN 0-323-03660-0

First, I must inform the reader that there is potential bias in this review as, we had already agreed to purchase this text (on my recommendation). It was therefore a surprise, welcome but daunting, to review this fourth edition of Imaging of Diseases of the Chest.

This book is designed to meet all the requirements essential to the interpretation of the disease pathologies in lung imaging. The text begins with chapters dealing with technical factors and the anatomy of the thorax. This is followed by various chapters describing the basic patterns of lung disease, specific disease process, congenital anomalies and chest trauma.

All of the chapters are supplemented by various tables and boxes providing summaries of information available in the text, including clinical features, differential diagnoses, diagnostic criteria and the radiological signs (in all imaging modalities) relevant to individual pathologies. The emphasis of this text (as described by the authors) is to ensure detailed discussion of the more complex and rare entities but also ensuring comprehensive coverage of the more common conditions.

Each chapter is extensively referenced (record is chapter on Lung Neoplasms with 1171) and has extensive well annotated images (chest X-rays were of variable quality). Although this book has in excess of 1200 pages, this was generally an easy and enjoyable text to read (in bite size portions!). The authors have managed to achieve a successful balance between fact, respected opinion and clinical pragmatism. As expected HRCT is comprehensively and logically discussed and I particularly welcomed the chapter on chest trauma. The index was also reader friendly giving helpful tips on where else to look when appropriate.

There is no major fault to find with this book and it would seem churlish to mention any minor inconsistencies, given the dedication of the authors. However, having said that there is an apparent odd typo, e.g. Fig3.90 and Fig6.107.

This major work is an essential prerequisite for all X-ray departments and I am very pleased to add this fourth edition to the radiology library.

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