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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
must be located anteriorly ... Clinical #Radiology #CXR ... #Pneumonia #Lingula ... #SilhouetteSign ... #RadiologyAssistant
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
Interstitial pneumonias ... acute reticular pattern ... PCP Mycoplasma pneumonia ... Clinical #Radiology #CXR ... #PJP #RadiologyAssistant
First study the CXRs.
There is a subtle consolidation in the left lower lobe in the hidden
First study the CXRs ... Clinical #Radiology #CXR ... #Pneumonia #Retrocardiac ... #SpineSign #SilhouetteSign ... #RadiologyAssistant
First study the CXR.
Notice the subtle increased density in the area behind the heart that needs
First study the CXR ... Clinical #Radiology #CXR ... #LLL #Pneumonia ... #Subtle #SilhouetteSign ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Multifocal ... Clinical #Radiology #CXR ... Consolidation #Patterns ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
to look at the pattern ... more than one pattern ... Radiology #Pulmonary #CXR ... Lobar #Diffuse #Multifocal ... Differential #Table #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
are dealing with multifocal ... excludes eosinophilic pneumonia ... of organizing pneumonia ... Clinical #Radiology #CXR ... OrganizingPneumonia #BOOP #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... lobar, diffuse or multifocal ... Diagnosis #Radiology #CXR ... Consolidation #Patterns ... #RadiologyAssistant
Good example of 'shred sign' in a patient with fever, cough and shortness of breath. 

This
This POCUS finding ... consolidation (i.e. pneumonia ... found to have multifocal ... pneumonia on CXR ... #Shred #sign #pneumonia
On a normal lateral chest film the silhouette of the left diaphragm 2- can be seen
all the way to anterior ... Clinical #Radiology #CXR ... #Pneumonia #RLL ... #Lateral #SilhouetteSign ... #RadiologyAssistant