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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung Abscess - Clinical ... Abscess Diagnosis ... lat decubitus - air ... CT Lung Abscess
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... can suggest the diagnosis ... abutting the pleura, air-bronchograms ... #Clinical #Radiology ... #CXR #CTChest #
Air Bronchogram Sign on Chest CT
 • Patent airways surrounded by opacified lung
 • DDx: pna,
Air Bronchogram ... Sign on Chest CT ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Monod Sign on Chest CT
 • Air surrounding a fungal ball in a preexisting pulmonary cavity
Monod Sign on Chest ... CTAir surrounding ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Air Crescent Sign on Chest CT
 • Crescentic or circumferential rim of radiolucent airspace within a
Air Crescent Sign ... on Chest CT • ... #CT #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
with the use of video-assisted ... patient received a diagnosis ... formation of multiple abscesses ... #NEJM #clinical ... #radiology #CT #
Squamous-Cell Carcinoma of the Lung- ...Physical examination revealed decreased air entry in the base of the
revealed decreased air ... A chest radiograph ... biopsy confirmed a diagnosis ... #NEJM #clinical ... #radiology #CT #
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
, with ensuing ischemia ... has five major clinical ... Inhalation of spores ... Sinusitis • Brain abscess ... change in the lungs
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... This patient’s clinical ... #Radiology #CTChest ... #Lung #Pulmonary