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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
looking at the lateral ... must be located anteriorly ... This was a consolidation ... due to a pneumonia ... Clinical #Radiology #CXR
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
post-obstructive pneumonia ... like organizing pneumonia ... proteinaceous material ... Diagnosis #Radiology #Pulmonary ... #CXR #Consolidation
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
that present with consolidation ... way to think of consolidation ... usually multiple ill-defined ... Diagnosis #Radiology #Pulmonary ... #CXR #Consolidation
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
Batwing A bilateral ... distribution of consolidation ... most typical of pulmonary ... it is seen in pneumonias ... Diagnosis #Radiology #CXR
Congestive heart failure
The findings are:
 - bilateral perihilar consolidation with air bronchograms and ill-defined borders
 -
findings are: - bilateral ... perihilar consolidation ... are dealing with pulmonary ... Clinical #Radiology #CXR ... #CHF #RadiologyAssistant
On a normal lateral chest film the silhouette of the left diaphragm 2- can be seen
On a normal lateral ... the way to anterior ... Clinical #Radiology #CXR ... #Pneumonia #RLL ... #Lateral #SilhouetteSign
On this lateral film there is too much density over the lower part of the spine.
By
is not in the anterior ... diaphragm, which is anterior ... to the pneumonia ... Clinical #Radiology #CXR ... #Pneumonia #RLL
Pectus excavatum
In patients with a pectus excavatum the right heart border can be ill-defined, but this
border can be ill-defined ... thus simulating a consolidation ... The lateral view ... appearance of the anterior ... Clinical #Radiology #CXR
Based on the CXR that you just saw, you could have made the diagnosis of congestive
Based on the CXR ... Notice that the inferior ... All these findings ... Clinical #Radiology #CXR ... #CHF #InterstitialEdema