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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 ... disease; LFT, liver
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
- Differential Diagnosis ... Red Flags: • Fever ... disease or CHF) ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... infiltrate (e.g., CXR ... , CT, ultrasound ... Inflammation (e.g., fever ... #Pulmonolary
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... On a Chest X-Ray ... #Diagnosis #Radiology ... #Pulmonary #CXR
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
the air-fluid level ... attached to the chest ... is a possible diagnosis ... airways leading to pulmonary ... #CXR #Pneumothorax
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... cervical rib Check lung ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Blood cultures • CXR ... early disease) • CXR ... decubitus - air fluid level ... #Abscess #pulmonary
Based on the images alone, it is usually not possible to determine the cause of the
between these chest ... with low oxygen level ... nodular interstitial lung ... #Clinical #Diagnosis ... #Radiology #CXR
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Room Air + Sea Level ... Weakness, Loss of Chest ... Left Shunt - Anatomic ... , Interstitial Lung ... #differential #diagnosis