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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 ... Clinical #Radiology #CXR ... #Pneumonia #Lingula ... SilhouetteSign #RadiologyAssistant
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
- Imaging: • CXR ... other processes Workup ... strep, HIV • CTD workup ... Anti-dsDNA, ANCA COP ... ILD #diagnosis #management
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
- Lobar or focal ... For instance a lobar ... called cryptogenic (COP ... Radiology #Pulmonary #CXR ... Differential #Table #RadiologyAssistant
Left lower lobe atelectasis - There is a triangular density seen through the cardiac shadow.
This must
confirmed on the lateral ... when you go from anterior ... Clinical #Radiology #CXR ... #LLL #Lobar #Collapse ... #RadiologyAssistant
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
Neoplasm with lobar ... (OP) or chronic ... proteinaceous material ... Radiology #Pulmonary #CXR ... #Differential #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
Lobar pneumonia ... Organizing pneumonia ... (OP) - multiple ... Diagnosis #Radiology #CXR ... #Causes #RadiologyAssistant
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 ... Clinical #Radiology #CXR ... #Pneumonia #RLL ... #RadiologyAssistant
On a normal lateral chest film the silhouette of the left diaphragm 2- can be seen
On a normal lateral ... all the way to anterior ... Clinical #Radiology #CXR ... #Pneumonia #RLL ... #RadiologyAssistant
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
failure, esp in work-up ... /management of shock ... history Initial Work-up ... pts a CBC and CMP ... get an EKG and CXR