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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
was a lower lobe pneumonia ... #Clinical #Radiology ... #CXR #LLL #Pneumonia ... #Subtle #SilhouetteSign ... #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
#Clinical #Diagnosis ... #Radiology #CTChest ... Cystic #Comparison #LAM ... Histiocytosis #RadiologyAssistant
First study the CXRs.
There is a subtle consolidation in the left lower lobe in the hidden
#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 ... The lab-findings ... Biopsy revealed the diagnosis ... #Clinical #Radiology ... OrganizingPneumonia #BOOP #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Cystic LCH: - LAM ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... Comparison #Table #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
is a possible diagnosis ... LAM is a rare lung ... LAM also occurs ... #Clinical #Radiology ... #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
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
carcinoma, the diagnosis ... cryptogenic organizing pneumonia ... #Clinical #Radiology ... Cryptogenic #Organizing #Pneumonia ... #ILD #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