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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
: • 80% have fever ... Blood cultures • CXR ... early disease) • CXR ... upright or lat ... decubitus - air fluid level
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 ... #RadiologyAssistant
On the left a case of chronic eosinophilic pneumonia.
It was a patient with low-grade fever, progressive
with low-grade fever ... respond promptly to treatment ... #Clinical #Radiology ... #CTChest #Eosinophilic ... EosinophilicPneumonia #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
between these chest ... with cough and fever ... Clinical #Diagnosis #Radiology ... #CXR #Lobar #Consolidation ... #Causes #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
are smaller and fewer ... In these cases comparison ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #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 ... #RadiologyAssistant
Alveolar proteinosis is a rare disease characterized by filling of the alveolar spaces with PAS positive
Nonproductive cough, fever ... the advent of treatment ... #Clinical #Radiology ... #CTChest #AlveolarProteinosis ... #CrazyPaving #RadiologyAssistant
Cavitation - Pneumonia
In virulent pyogenic infections an abscess may form within the consolidated lung as a
infections an abscess ... one month after treatment ... #Clinical #Radiology ... #CXR #CTChest # ... CavitaryPneumonia #RadiologyAssistant
Retained Bullet on POCUS
Although it kinda looks like an eyeball, the clinical scenario here was a
on the lateral chest ... concerning for an abscess ... So is it an abscess ... I guess all I am ... you want to get, never