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Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung abscess ... Lung Abscess - Clinical ... ) • CXR upright ... CT Lung Abscess
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Dyspnea (underlying lung ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT ... History of cancer, lung
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Oleothorax - A chest ... area of the left lung ... Clinical #PCC #Radiology ... #CXR #Oleothorax ... #NEJM
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... throughout the lungs ... hematogenous spread of a disease ... diagnosis #pulmonary #CXR ... #clinical #CT
Left-Middle-Lobe Pneumonia - Radiography of the chest revealed a cardiac apex, aortic arch, and gastric bubble
Radiography of the chest ... infiltrate in the left lung ... #Clinical #Radiology ... #CXR #Kartagener ... SitusInversus #NEJM
Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
is a fibrotic lung ... disease caused ... Calcification (seen in CT ... Silicosis #clinical #radiology ... #CXR #Chest #XRay
PA view
On the PA chest-film it is important to examine all the areas where the lung
view On the PA chest-film ... localizers of disease ... paravertebral abscess ... Clinical #Anatomy #Radiology ... #CXR #Normal #Labeled
Squamous-Cell Carcinoma of the Lung- ...Physical examination revealed decreased air entry in the base of the
A chest radiograph ... tomography of the chest ... indicated stage IV disease ... #NEJM #clinical ... #radiology #CT #
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
tomography of the chest ... Biopsy of the lung ... formation of multiple abscesses ... #NEJM #clinical ... #radiology #CT #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Assess functional ... event, follow ACC algorithm ... one post op Cardiology ... change CV risk Chest ... unless prior heart/lung