9 results
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
evaluation - Chest ... X-ray - Lung ultrasound ... as clinically indicated ... #algorithm #schema ... #Coronavirus
Pleuroparenchymal Fibroelastosis (PPFE) on Chest CT
47 M with idiopathic pleuroparenchymal fibroelastosis. Typical imaging findings:
- Upper lobe
subpleural and pleural ... Rare - GVHD, lung ... #ChestCT #radiology ... #clinical #pulmonary ... #CXR
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
characteristic features Clinical ... organ system: • Pleura ... Tuberculosis Diagnosis ... and Culture • CXR ... disease • Check CXR
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
characteristic features Clinical ... organ system: • Pleura ... Tuberculosis Diagnosis ... and Culture • CXR ... disease • Check CXR
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
periphery of the lung ... base against the pleural ... may aid in the diagnosis ... confirmed with chest ... #photo #CXR #EmergencyMedicine
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
lesions than the chest ... can suggest the diagnosis ... lesions abutting the pleura ... #Clinical #Radiology ... #CXR #CTChest #
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Oleothorax - A chest ... area of the left lung ... of oil into the pleural ... #Clinical #PCC # ... Radiology #CXR #
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... : weight gain, lung ... Chest x-ray: signs ... edema, bilateral pleural ... → no signs of CXR
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Change in clinical ... change CV risk Chest ... unless prior heart/lung ... stratification #diagnosis