Smoking and Cigarettes Empty PromisesCollage of cigarette advertisements of the early 20th century revealing a portrayal of elegance, feminism, and manhood. The advertising campaigns worked well for the cigarette companies but had a dismal result on health. The third image from the left in the top row shows a physician who states that “Luckies are less irritating”The world war brought free cigarettes to the soldiers from the tobacco companies. The effect on the soldiers and the culture was a devastating rise in carcinoma 20 years after the event, with peaks in the incidence of carcinoma in the 1940’s and then in the 1960’s.54458 code historicalAshley Davidoff MDThe CommonVein.net The Cause and the Effect in one ImageThe CT scan through the chest of an 80 year old male shows a large lung mass in the posterior aspect of the right upper lobe (overlaid in green) and3 small nodules in the left upper lobe (overlaid in green). The patient is obviously a smoker and the incriminating pack of cigarettes is identified in his right shirt pocket containing 9 cigarettes. The lung cancer was shown to be an adenocarcinoma The pathology of the nodules may either represent metastatic disease or multicentric foci of bronchioloalveolar cell carcinoma. Associated finding of a thinned anterior junction line suggests hyperinflation and emphysema, and the thickened bronchial walls noted in the right lung suggest chronic bronchitis. Saber shaped trachea is also reminiscent of emphysema. The patient is emaciated, a finding that relates both to his chronic lung disease and his cancer.Ashley Davidoff MD 87831c01b.8sTheCommonVein.net An Advert in Toronto Newspaper 1977Cigars are not as carcinogenic as cigarettes probably due to the fact that cigar smoke is not usually inhaled. In the early 1900’s cigar smoking was associated with elegance and currently portrays a sense of bravado as demonstrated in this image.Courtesy Ashley Davidoff MD 13021gTheCommonVein.net Generation Gap Enjoying a Cigarette TogetherFrom the series “People of Israel”Ashley Davidoff MDTheCommonVein.net Normal and EmphysemaNovember is COPD Awareness MonthAshley Davidoff MDTheCommonVeein.net Langerhans Cell HistiocytosisLangerhans Cell is a dendritic white cell with a wavy nucleus that creates granulomas and infiltrates the interstitium. It thus causes spiculated nodules that appear as spiculated nodules on CTAshley DavidoffTheCommonVein.net Normal Acinus and EmphysemaImage on the left shows normal size and appearance of terminal bronchioles and alveoli. On the right the image shows rtthe effects on the bronchioles and when severe on the alveoli as wellAshley Davidoff MDTheCommonVein.net