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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
anteriorly in the left lung ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
x-ray there is an ill-defined ... weight loss or long ... #Clinical #Radiology ... #CXR #AirBronchogram ... #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
densities in both lungs ... of organizing pneumonia ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
periphery of the lung ... it is seen in pneumonias ... #Diagnosis #Radiology ... #CXR #Batwing # ... Differential #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
usually multiple ill-defined ... are organizing pneumonia ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Differential #Table #RadiologyAssistant
First study the CXR.
Notice the subtle increased density in the area behind the heart that needs
First study the CXR ... was a lower lobe pneumonia ... #Clinical #Radiology ... #CXR #LLL #Pneumonia ... SilhouetteSign #RadiologyAssistant
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
post-obstructive pneumonia ... - Lung neoplasms ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
bubble and the lung ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... structures in the right lung ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
densities iin the left lung ... cavitation in the right lung ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant