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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung abscess ... Abscess Diagnosis ... Blood cultures • CXR ... early disease) • CXR
A 50 yo F with a history of poor dentition presents to the ED with fever
A CXR is done. ... Diagnosis: Cavitary ... consistent w/ lung ... abscess #Clinical ... #Radiology #CXR
Cavitary Lesion with Air-Fluid Level on Chest XRay

70+ year old man with PMH of latent TB
Cavitary Lesion ... Air-Fluid Level on Chest ... latent TB s/p treatment ... #Cavitary #CXR ... Clinical #Pulmonary #Radiology
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... , hemoptysis Treatment ... meropenem) #Lung ... #Abscess #Diagnosis ... Pulmonary #Clinical #CXR
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
lucencies within the lung ... , like cyst, cavity ... we describe a chest ... visible wall #CXR ... #Diagnosis #Radiology
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... Lymphangiomyomatosis, LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... Comparison #LAM #LIP
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... densities iin the left lung ... #Clinical #Radiology ... #CXR #CTChest # ... #SepticEmboli #Cavity
Posterior Mediastinal Mass - Differential Diagnosis
 • Neurofibroma
 • Neurosarcoma
 • Neuroblastoma
 • Ganglioneuroma
 • Meningocele
- Differential Diagnosis ... • Paraspinal abscess ... • Small cell lung ... #pulmonary #radiology ... #chest
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... cervical rib Check lung ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
result in decreased lung ... - Emphysema - Lung ... cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest