19 results
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... looking at the lateral ... must be located anteriorly ... Clinical #Radiology #CXR ... #Pneumonia #Lingula
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Imaging: • CXR ... , CPK, anti-scl70 ... DDX: • CAP, ... Treatment: • ... ILD #diagnosis #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... detected on CT or CXR ... Management ● Early ... oxygenation in pneumonia ... RespiratoryDistress #Syndrome
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
Streptocccus Pneumoniae ... common cause of: CAP ... Physical Exam, CXR ... Specificity of 97%) Treatment ... microbiology #diagnosis #management
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... WBC >100k, + lab signs ... organ damage • Treatment ... acid, Elevated Cr ... TLS #diagnosis #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Diagnosis and Management ... for Klebsiella pneumonia ... necrosis (7-14 days later ... Blood cultures • CXR ... early disease) • CXR
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
and Management ... Pneumonia Signs ... Yield of blood CX ... cultures/nasal PCR ... #Management #treatment
PA view
On the PA chest-film it is important to examine all the areas where the lung
the silhouette sign ... we will discuss later ... The anterior and ... upper lobes join anteriorly ... Anatomy #Radiology #CXR
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
Sciatica: often bilateral ... L5/S1 with an inferior ... • S - Saddle anesthesia ... • CBC, ESR, CRP ... axial T1 and T2 Treatment
Pectus excavatum
In patients with a pectus excavatum the right heart border can be ill-defined, but this
right heart border can ... produces a silhouette sign ... The lateral view ... appearance of the anterior ... Clinical #Radiology #CXR