Aorta flap cardiology clinical cxr radiologyassistant pneumonia comparison diagnosis silhouettesign

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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral

Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia ... #Lingula #SilhouetteSign ... #RadiologyAssistant

First study the CXR.
Notice the subtle increased density in the area behind the heart that needs

First study the CXR ... #Clinical #Radiology ... #CXR #LLL #Pneumonia ... #Subtle #SilhouetteSign ... #RadiologyAssistant

First study the CXRs.
There is a subtle consolidation in the left lower lobe in the hidden

First study the CXRs ... #Clinical #Radiology ... #CXR #Pneumonia ... Retrocardiac #SpineSign #SilhouetteSign ... #RadiologyAssistant

Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there

the differential diagnosis ... Biopsy revealed the diagnosis ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant

Based on the images alone, it is usually not possible to determine the cause of the

Lobar pneumonia ... Organizing pneumonia ... #Clinical #Diagnosis ... #Radiology #CXR ... Consolidation #Causes #RadiologyAssistant

On a normal lateral chest film the silhouette of the left diaphragm 2- can be seen

#Clinical #Radiology ... #CXR #Pneumonia ... #RLL #Lateral #SilhouetteSign ... #RadiologyAssistant

On this lateral film there is too much density over the lower part of the spine.
By

The pneumonia does ... #Clinical #Radiology ... #CXR #Pneumonia ... #RLL #Lateral #SilhouetteSign ... #RadiologyAssistant

There is displacement of the azygoesophageal line both superiorly an inferiorly.
There is an air-fluid level (arrow).
Combined

The final diagnosis ... prior aspiration pneumonia ... #Clinical #Radiology ... #CXR #Achalasia ... AirFluidLevel #Aspiration #RadiologyAssistant

Differential diagnosis of TB.
Primary TB: Acute bacterial pneumonia
Secondary TB: Sarcoidosis, Silicosis, Pneumoconiosis
Endobronchial spread of TB: Bronchopneumonia,

Acute bacterial pneumonia ... #Clinical #Diagnosis ... #Radiology #CTChest ... #MiliaryTB #Comparison ... Metastases #Mimic #RadiologyAssistant

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