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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... • Most common cause ... Lung abscess ... Lung Abscess - Clinical
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
(infection) • ... Dyspnea (underlying lung ... disease or CHF) ... ) • Abnormal CXR ... History of cancer, lung
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
anteriorly in the left lung ... caused by Sterptococcus ... pneumoniae. ... #Clinical #Radiology ... #CXR #Pneumonia
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
In the proper clinical ... weight loss or long ... caused by Streptcoccus ... #Clinical #Radiology ... #CXR #AirBronchogram
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
of interstitial lung ... - Imaging: • CXR ... peripheries and lower lung ... Diagnosis: • Lung ... TBNA or Surgical lung
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... the apex and the lung ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Cavitation - Pneumonia
In virulent pyogenic infections an abscess may form within the consolidated lung as a
an abscess may ... the consolidated lung ... one month after treatment ... #Clinical #Radiology ... #CXR #CTChest #
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... bronchial obstruction caused ... structures in the right lung ... #Clinical #Radiology ... #CXR #CTChest #
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status • Chronic lung ... status NTM Cause ... to NTM: Chronic lung ... with: Cavitary lung ... - Cough and lung
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
• Lymphoma • Lung ... Septic emboli • Lung ... abscess Primary ... • Progressive lung ... • Upper lobe lung