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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
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... centrilobular nodules ... #Clinical #Radiology ... Comparison #Table #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
Lobar pneumonia ... x-ray there is an ill-defined ... an acute lobar pneumonia ... #Clinical #Radiology ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Multifocal ill-defined ... opacities - Fine Nodular ... Solitary Pulmonary Nodule ... Diagnosis #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... Hypersensitivity pneumonitis: ill ... bronchiolitis: ill ... Clinical #Diagnosis #Radiology ... Comparison #Table #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
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
usually multiple ill-defined ... streptococcus pneumoniae ... are organizing pneumonia ... #Diagnosis #Radiology ... Differential #Table #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
larger ones are ill-defined ... excludes eosinophilic pneumonia ... of organizing pneumonia ... #Clinical #Radiology ... OrganizingPneumonia #BOOP #RadiologyAssistant
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
post-obstructive pneumonia ... like organizing pneumonia ... granulomatous noduli ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant