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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral

shows a silhouette sign ... know, that the pathology ... anteriorly in the left lung ... #Clinical #Radiology ... SilhouetteSign #RadiologyAssistant

Landolfi’s Sign on Physical Exam

A 73-year-old man presented with shortness of breath. On ocular exam, pupil

Exam A 73-year-old ... On ocular exam, ... PhysicalExam #Clinical #Video ... #Ocular #Iris # ... AorticRegurgitation #Cardiology

Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases

Upper lung zone ... bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... #Upper #Lower #RadiologyAssistant

Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more

feeding vessel sign ... feeding vessel sign ... densities iin the left lung ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant

Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic

Nodular pattern ... Hypersensitivity pneumonitis: ill ... #Clinical #Radiology ... HRCT #CTChest #Nodular ... Comparison #Table #RadiologyAssistant

Whenever you see an area of increased density within the lung, it must be the result

density within the lung ... Consolidation - any pathologic ... or multifocal ill-defined ... #Diagnosis #Radiology ... Consolidation #Patterns #RadiologyAssistant

Here are the most common examples of these four patterns on a chest x-ray (click image

consolidation - Multifocal ill-defined ... opacities - Fine Nodular ... Diagnosis #Clinical #Radiology ... 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 ... Clinical #Diagnosis #Radiology ... Comparison #Table #RadiologyAssistant

Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against

the chest the lung ... inferior part of the lung ... be mistaken for pathology ... #Clinical #Radiology ... Cardiac #Incisura #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 ... In lung carcinoma ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant

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