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Lung Segment Anatomy Annotated on Chest CT
Right Lung:
 • Upper Lobe: Apical, Posterior, Anterior
 • Middle
Lung Segment Anatomy ... Annotated on Chest ... #CT #CTChest #pulmonary ... #clinical #radiology ... #Anatomy
Normal Hilar Anatomy on Chest X-Ray
The hilum is 95% vessels and while it is not important
Normal Hilar Anatomy ... branches and the pulmonary ... intermedius LPA - left Pulmonary ... drdevrad #Hilar #Anatomy ... #clinical #radiology
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
- Tamponade Pulmonary ... Causes of Chest ... Pain: • Chest ... Pleuritis • Alveoli ... : - CHF - Pneumonia
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Cardiogenic pulmonary ... to filling of alveoli ... Cardiogenic pulmonary ... #Clinical #Radiology ... #Pulmonary #CTChest
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Age-Adjusted Gradient • Alveolar ... Weakness, Loss of Chest ... Elasticity (flail chest ... Left Shunt - Anatomic ... #AA #Gradient #alveolar
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... #CTChest #SeptalThickening ... #CHF #RadiologyAssistant
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Thickening/Masses Chest ... Alveoli • Pneumonia ... • Neoplasm Pulmonary ... Interstitium • ILD • CHF ... Vessels • Pulmonary
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
even within each lobe ... transudate like in CHF ... #Clinical #Radiology ... #CTChest #CHF # ... Alveolar #Pulmonary
Notice the cavitation especially on the right.
In the left upper lobe there is probably some traction-bronchiectasis
the left upper lobe ... #Clinical #Radiology ... #Pulmonary #CTChest
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... Views of the upper lobe ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization