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Here are the most common examples of these four patterns on a chest x-ray (click image
opacities - Fine Nodular ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... Consolidation #Patterns #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... : 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... Comparison #Table #RadiologyAssistant
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
consolidation is pulmonary ... Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Landolfi’s Sign on Physical Exam

A 73-year-old man presented with shortness of breath. On ocular exam, pupil
Landolfi’s Sign ... On ocular exam, ... #PhysicalExam #Clinical ... #Video #Ocular ... AorticRegurgitation #Cardiology
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Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
nodules and the nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Perilymphatic #Nodular ... #Differential #RadiologyAssistant
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Feeding Vessel Sign ... CT • Distinct pulmonary ... Feeding #Vessel #Sign ... #diagnosis #radiology ... #clinical
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
aka Pawnbroker's Sign ... #Pawnbrokers #Sign ... #clinical #radiology ... #pulmonary #sarcoidosis
Notice the cavitation especially on the right.
In the left upper lobe there is probably some traction-bronchiectasis
#Clinical #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #RadiologyAssistant
Hilar and mediastinal lymphadenopathy
In sarcoidosis the common pattern is right paratracheal and bilateral hilar adenopathy ('1-2-3-sign').
In
adenopathy ('1-2-3-sign ... #Diagnosis #Radiology ... #Pulmonary #Mediastinal ... #Differential #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... SeptalThickening #CHF #RadiologyAssistant