10 results
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
IgG4-Related Disease ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT ... #diagnosis #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... and Management ... Blood cultures • CXR ... ) • CXR upright ... seen • Chest CT
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
throughout the lungs ... hematogenous spread of a disease ... Differential Diagnosis ... #pulmonary #CXR ... #clinical #CT
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
The differential diagnosis ... the most likely diagnosis ... Clinical #PCC #Radiology ... #CXR #Oleothorax ... #NEJM
Left-Middle-Lobe Pneumonia - Radiography of the chest revealed a cardiac apex, aortic arch, and gastric bubble
infiltrate in the left lung ... pneumonia was diagnosed ... #Clinical #Radiology ... #CXR #Kartagener ... SitusInversus #NEJM
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... → no signs of CXR ... coronary artery disease ... #management #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... , Pancreas, Gastric ... Differential Diagnosis ... Endocarditis Diagnosis ... #management #cardiology
Squamous-Cell Carcinoma of the Lung- ...Physical examination revealed decreased air entry in the base of the
Carcinoma of the Lung ... biopsy confirmed a diagnosis ... indicated stage IV disease ... #NEJM #clinical ... #radiology #CT #
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
effusions in both lungs ... Biopsy of the lung ... patient received a diagnosis ... #NEJM #clinical ... #radiology #CT #
Thumbprinting in Ischemic Colitis- Contrast-enhanced computed tomography of the abdomen, performed to evaluate the possibility of
complicated diverticular disease ... consistent with a diagnosis ... colitis #clinical #radiology ... #CT #thumbprinting ... #sign #NEJM