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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
consolidation due to a pneumonia ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
Interstitial pneumonias ... #Clinical #Radiology ... #CXR #Acute #Interstitial ... #Pneumonia #PJP ... #RadiologyAssistant
Azygoesophageal recess
The most important mediastinal line to look for is the azygoesophageal line, which borders the
Azygoesophageal ... on most frontal CXRs ... #Diagnosis #Radiology ... #CXR #Azygoesophageal ... #Differential #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
Lobar pneumonia ... In the proper clinical ... #Clinical #Radiology ... #CXR #AirBronchogram ... #RadiologyAssistant
Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
The most common diagnosis ... is lobar pneumonia ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Notice the deviation of the azygoesophageal line on the PA-film.
It is caused by a hiatal hernia.
deviation of the azygoesophageal ... #Clinical #Radiology ... #CXR #AzygoesophagealRecess ... #Azygoesophageal ... Hiatal #Hernia #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... the differential diagnosis ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Differential #Table #RadiologyAssistant
There is displacement of the azygoesophageal line both superiorly an inferiorly.
There is an air-fluid level (arrow).
Combined
displacement of the azygoesophageal ... The final diagnosis ... prior aspiration pneumonia ... #Clinical #Radiology ... #CXR #Achalasia
#Clinical #Radiology #CXR #CTChest #Cavity #Pneumonia #CavitaryPneumonia #RadiologyAssistant
#Clinical #Radiology ... #CXR #CTChest # ... Cavity #Pneumonia ... CavitaryPneumonia #RadiologyAssistant
A hiatal hernia is the most common cause of displacement of the azygoesophageal line.
Notice the air
displacement of the azygoesophageal ... #Clinical #Radiology ... #CXR #Lateral # ... Hiatal #Hernia #RadiologyAssistant