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Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... Aspiration - Pulmonary edema ... #Diagnosis #Radiology ... #Upper #Lower #RadiologyAssistant
Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
- Interstitial edema ... Stage II of CHF ... #Clinical #Radiology ... #CXR #CHF #KerleyB ... #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
cardiogenic pulmonary edema ... #Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
periphery of the lung ... typical of pulmonary edema ... #Diagnosis #Radiology ... #CXR #Batwing # ... Differential #RadiologyAssistant
Congestive heart failure
The findings are:
 - bilateral perihilar consolidation with air bronchograms and ill-defined borders
 -
bronchograms and ill-defined ... with pulmonary edema ... like to look at old ... #Clinical #Radiology ... #CXR #CHF #RadiologyAssistant
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
anteriorly in the left lung ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Multifocal ill-defined ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... Consolidation #Patterns #RadiologyAssistant
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... , interstitial edema ... #Clinical #Radiology ... #CXR #CHF #Exacerbation ... #Comparison #RadiologyAssistant
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
by interstitial edema ... #Clinical #Radiology ... #CXR #Acute #Interstitial ... Pneumonia #PJP #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
in the proper clinical ... densities iin the left lung ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant