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A 50 yo F with a history of poor dentition presents to the ED with fever
to the ED with fever ... A CXR is done. ... consistent w/ lung ... abscess #Clinical #Radiology ... #CXR #ChestXRay
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison ... #LAM #LIP #Histiocytosis
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
the air-fluid level ... is a possible diagnosis ... LAM is a rare lung ... #Clinical #Radiology ... #CXR #Pneumothorax
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... 103-104°F) • Lobar ... (Temp high in AM ... Brucellosis Faget's Sign ... or lung abscess
Based on the images alone, it is usually not possible to determine the cause of the
between these chest ... with cough and fever ... nodular interstitial lung ... #Clinical #Diagnosis ... #Radiology #CXR
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential Diagnosis ... • CT: Halo sign ... and dyspnea • Lobar ... infiltrates or lobar ... #differential #diagnosis
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Cystic LCH: - LAM ... : 'signet ring sign ... #Radiology #CTChest ... #Differential #Comparison
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign ... hemidiaphragm and the liver ... thus important to diagnose ... #Chest #XRay #CXR ... #clinical #radiology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... : • 80% have fever ... Blood cultures • CXR ... upright or lat ... decubitus - air fluid level