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Here are the most common examples of these four patterns on a chest x-ray (click image
Consolidation - Lobar ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
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Miliary Pattern ... throughout the lungs ... Differential Diagnosis ... #pulmonary #CXR ... #clinical #CT
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 ... consolidations, but ... #Diagnosis #Radiology ... #Pulmonary #CXR
Based on the images alone, it is usually not possible to determine the cause of the
Lobar pneumonia ... consolidation, but ... nodular interstitial lung ... #Clinical #Diagnosis ... #Radiology #CXR
Tree-in-Bud Sign on Chest CT
 • Multiple centrilobular nodules arranged in a linear branching pattern.
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linear branching pattern ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical #tree ... #bud
On the PET-CT there is both a tumor in the left lung, aswell as in the
On the PET-CT there ... tumor in the left lung ... #Clinical #Radiology ... #CXR #PETCT #LUL ... #Lobar #Collapse
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... to confirm the diagnosis ... at the lung bases ... heart failure, but ... #Clinical #Radiology
Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
is a fibrotic lung ... Calcification (seen in CT ... typical eggshell pattern ... #radiology #CXR ... XRay #labeled #pulmonary
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
with a benign pattern ... mm depends on clinical ... Intermediate probability: PET-CT ... definitive tissue diagnosis ... Society #Followup #Pulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Change in clinical ... one post op Cardiology ... unless prior heart/lung ... stratification #diagnosis