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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
consolidation due to a pneumonia ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia ... #Lingula #SilhouetteSign
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... Xray and POCUS ... #CXR #Comparison ... #Clinical #Lung ... #Pulmonary #Clinical
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... an ill-defined area ... In the proper clinical ... #Clinical #Radiology ... #CXR #AirBronchogram
Causes of Acute Pediatric Cough - Differential Diagnosis Algorithm
No Fever, No Tachypnea
 - Normal Chest Auscultation
Algorithm No Fever ... Tachypnea - Normal Chest ... Fever, Tachypnea ... • Bacterial pneumonia ... Atypical or viral pneumonia
First study the CXR.
Notice the subtle increased density in the area behind the heart that needs
First study the CXR ... density in the area ... #Clinical #Radiology ... #CXR #LLL #Pneumonia ... #Subtle #SilhouetteSign
First study the CXRs.
There is a subtle consolidation in the left lower lobe in the hidden
First study the CXRs ... in the hidden area ... #Clinical #Radiology ... #CXR #Pneumonia ... Retrocardiac #SpineSign #SilhouetteSign
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
Interstitial pneumonias ... cough and some fever ... #Clinical #Radiology ... #CXR #Acute #Interstitial ... #Pneumonia #PJP
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
Cryptogenic Organizing Pneumonia ... of organizing pneumonia ... - Clinical manifestations ... cough, dyspnea, fever ... - Imaging: • CXR
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
this patient have pneumonia ... evidence of a chest ... infiltrate (e.g., CXR ... Inflammation (e.g., fever ... #Pneumonia #Venn
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
• Pleuritic chest ... Uremia (blood urea ... nitrogen level ... infiltrate by chest ... Yield of blood CX