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Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
Lymphoma, Germ cell tumor ... Lymphadenopathy • Pericardial ... Pneumomediastinum, Pericardial ... effusion • CXR ... #radiology
On the left another patient with a large cardiac silhouette on the chest x-ray due to
chest x-ray due to pericardial ... Pericardial effusion ... CT-reconstruction #Clinical ... #Radiology #CXR ... PericardialEffusion #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the chest the lung ... since the heart or pericardial ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura #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
mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... Consolidation #Patterns #RadiologyAssistant
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
periphery of the lung ... most typical of pulmonary ... #Diagnosis #Radiology ... #CXR #Batwing # ... Differential #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
There is a lung ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Pericardial cyst
Pericardial cysts are connected to the pericardium and usually contain clear fluid.
The majority of pericardial
Pericardial cyst ... proximal aorta and pulmonary ... #Clinical #Radiology ... #CXR #CTChest # ... #Cyst #RadiologyAssistant
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Pericardiocentesis on POCUS ... distance away from lung ... Echocardiogram #A4c #clinical ... #cardiology #effusion ... #pericardial
Cicacitration atelectasis
Atelectasis can be the result of fibrosis of lungtissue.
This is seen after radiotherapy and in
density of the lung ... #Clinical #Radiology ... #CXR #Radiation ... #Fibrosis #RadiologyAssistant