Startle radiology radiologyassistant sign diagnosis clinical cxr chf lung pneumothorax - GrepMed

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There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the

There is a lung ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant

The retracted visceral pleura is seen (blue arrow) which indicates that there is a pneumothorax.
There is

When a pneumothorax ... only key to the diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax ... Hydropneumothorax #RadiologyAssistant

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

shows a silhouette sign ... anteriorly in the left lung ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant

Here two CXRs of another patient with obvious skinfolds. The radiography was performed supine with a

Here two CXRs of ... that there are lung ... beyond the apparent pneumothorax ... #Clinical #Radiology ... #Fold #Mimic #RadiologyAssistant

This is not a pneumothorax but a skin fold.
The radiography was performed supine with a CR

This is not a pneumothorax ... that there are lung ... #Clinical #Radiology ... #CXR #SkinFold ... #Fold #Mimic #RadiologyAssistant

Pleural effusion is not always visible as a meniscus in the costophrenic angle.
A subpulmonic effusion

a patient with signs ... of CHF. ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant

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

can suggest the diagnosis ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant

Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes

appearance of lung ... structures in the right lung ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant

Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels

In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant

There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall

There is a lung ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant

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