13 results
COVID-19 POCUS

96 yrs old, discharged 3 wks ago for CAP, treated with amox/clav then cefixime. Returns
Returns for dyspnea ... CXR with consolidation ... #POCUS #Clinical ... #Lung #Ultrasound ... #SARSCoV2 #Coronavirus
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Chest X-ray - Lung ... - CBC with differential ... diagnostics as clinically ... pulmcrit via Internet Book ... schema #Diagnosis #SARSCoV2
COVID-19 Chest Xray - First case of 2019 novel coronavirus in Canada
Chest x-ray shows bilateral, peribronchovascular,
COVID-19 Chest Xray ... opacities in all lung ... via Internet Book ... #ChestXray #CXR ... #Clinical #SARSCoV2
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
densities in both lungs ... dealing with the differential ... #Clinical #Radiology ... #CXR #Peripheral ... #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
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Typical symptoms: dyspnea ... paroxysmal noctumal dyspnea ... : weight gain, lung ... → no signs of CXR
When a rib fracture heals, the callus formation may create a mass-like appearance (blue arrow).
Sometimes a
is necessary to differentiate ... fracture from a lung ... #Clinical #Radiology ... #CXR #Old #RibFracture ... #Pseudotumor #RadiologyAssistant
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
a patient with long ... The differential ... #Clinical #Radiology ... #CXR #Lateral # ... Sarcoidosis #Fibrosis #RadiologyAssistant