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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 ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
The retracted visceral pleura is seen (blue arrow) which indicates that there is a pneumothorax.
There is
is an air-fluid level ... this air-fluid level ... #Clinical #Radiology ... #CXR #Pneumothorax ... Hydropneumothorax #RadiologyAssistant
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Red Flags: • Fever ... Dyspnea (underlying lung ... disease or CHF) ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR
Here two CXRs of another patient with obvious skinfolds. The radiography was performed supine with a
Here two CXRs of ... that there are lung ... beyond the apparent pneumothorax ... #Clinical #Radiology ... #Fold #Mimic #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
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 ... Check apices for pneumothorax ... cervical rib Check lung ... #XRay #CXR #Interpretation ... #Checklist #radiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
This is not a pneumothorax but a skin fold.
The radiography was performed supine with a CR
This is not a pneumothorax ... that there are lung ... #Clinical #Radiology ... #CXR #SkinFold ... #Fold #Mimic #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
the air-fluid level ... attached to the chest ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
densities iin the left lung ... cavitation in the right lung ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant