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Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
CHD, congenital ... hypertension; CXR ... , chest X-ray; HPAH ... ; CLD, chronic lung ... #Diagnosis #Peds
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Decompensated HF ... • New ischemia ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
Tetralogy of Falot on Chest ... along with concave Pulmonary ... #XRay #CXR #clinical ... #radiology #peds ... #pediatrics #cardiology
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... There is a lung ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... with asthma or CF ... structures in the right lung ... #Clinical #Radiology ... #CXR #CTChest #
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... Radiology • Miliary ... throughout the lungs ... #diagnosis #pulmonary ... #CXR #clinical
Here another patient with widespread pulmonary metastases of a cancer, that was located in the tongue.
with widespread pulmonary ... #Clinical #Radiology ... #CXR #CTChest # ... LungMets #Lung #
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
Lung infarction ... In pulmonar embolism ... In this case a lung ... #Clinical #Radiology ... #CXR #CTChest #
Based on the images alone, it is usually not possible to determine the cause of the
and other non-pulmonary ... between these chest ... Pulmonary hemorrhage ... nodular interstitial lung ... #Radiology #CXR