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On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
#Clinical #Radiology ... #CXR #CTChest # ... ABPA #Allergic # ... FingerInGlove #Sign ... #RadiologyAssistant
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
aspergillosis (ABPA ... CT demonstrated ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... on Chest CT • Parallel ... bronchiectasis, CF ... necrotizing pna, ABPA ... #Tram #Track #Sign
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
CT 1. ... Reverse Halo Sign ... Halo Sign 6. ... Organizing Pneumonia ... Pulmonary #ChestCT #radiology
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
this patient have pneumonia ... evidence of a chest ... ., CXR, CT, ultrasound ... pain) and signs ... #Pneumonia #Venn
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 ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• 3 syndromes: ABPA ... • Pleuritic chest ... • CT: Halo sign ... Lymphadenopathy, Chest ... : • Chest pain
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... → no signs of CXR ... diagnosis #management #cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... worsening brady, Signs ... AMS, SOB from CHF ... , Chest Pain • ... differential #management #cardiology