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Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Dyspnea (underlying lung ... disease or CHF) ... lymadenopathy, clubbing, chest ... ) • Abnormal CXR ... refer + order CT
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... densities iin the left lung ... On the CT cavitation ... Clinical #Radiology #CXR ... SepticEmboli #Cavity #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... CT demonstrated ... Clinical #Radiology #CXR ... #CTChest #MucoidImpaction ... Mucus #Plugging #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
patient who had a CT ... based on this CT ... Clinical #Radiology #CTChest ... SeptalThickening #CHF ... #RadiologyAssistant
On the left another patient with a large cardiac silhouette on the chest x-ray due to
silhouette on the chest ... on the coronal CT-reconstruction ... Clinical #Radiology #CXR ... #CTChest #Cardiomegaly ... PericardialEffusion #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... during a period of CHF ... Clinical #Radiology #CXR ... #CHF #Cephalization ... Redistribution #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
right side of the chest ... the lung will lie ... inferior part of the lung ... Clinical #Radiology #CXR ... Cardiac #Incisura #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... On a Chest X-Ray ... is interstitial lung ... On a CXR the most ... #Differential #RadiologyAssistant
Here another chest x-ray with interstitial edema and Kerley B lines in a patient with congestive
Here another chest ... The CT shows the ... Clinical #Radiology #CXR ... #CTChest #KerleyB ... Kerley #BLines #RadiologyAssistant
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
Lung infarction ... In this case a lung ... On the CT we can ... Clinical #Radiology #CXR ... PulmonaryEmbolism #RadiologyAssistant