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On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison ... #LAM #LIP #Histiocytosis
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
's female with chest ... Triage EKG (no prior ... Differential/diagnosis ... Activate cath lab ... #A4c #clinical
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Vessel Sign on Chest ... CT • Distinct pulmonary ... leading into a lung ... #Pulmonary #diagnosis ... #radiology #clinical
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... LAM is a rare lung ... airways leading to pulmonary ... #Clinical #Radiology
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Halo Sign on Chest ... sarcoidosis, mets to the lung ... Halo #Sign #CT #Lung ... #Pulmonary #diagnosis ... #radiology #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... period without chest ... Serial EKGS in pts ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
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 ... (e.g. echocardiogram ... , EKG) Dr.
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Differential #Comparison
Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
Abnormalities on POCUS Echocardiogram ... Older male with chest ... ECG with concerning ... Taken to cath lab ... #clinical #cardiology