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Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Tamponade Pulmonary ... • Parenchyma: ILD ... • Pleura: - Effusion ... - Pneumothorax ... #pulmonary
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural effusion ... ; sometimes pneumothorax ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Atelectasis #Diagnosis #Clinical ... Consolidation #Patterns #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
non-perfused vessels and causes ... In daily clinical ... with old fims can ... #Clinical #Radiology ... Redistribution #RadiologyAssistant
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
POCUS Pulmonary ... teaching case: ... infected pleural effusion ... #clinical #video ... #POCUS #pulmonary
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
infarction In pulmonar ... Here we see an old ... has caused a triangular ... #Clinical #Radiology ... PulmonaryEmbolism #RadiologyAssistant
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Overcrowded urban areas ... Presentation: • Mild ... : conjunctival suffusion ... failure • Severe pulmonary ... Epidemiologic exposure + clinical
Empyema on POCUS

89-year-old male with fever and dyspnea. Lung ultrasound reveals what chest x-ray hides -
Empyema on POCUS ... 89-year-old ... ultrasound reveals what chest ... Lung #Ultrasound #POCUS ... #Clinical #Pulmonary
On the left a case with multiple cysts that are evenly distributed througout the lung (
On the left a case ... was a 40 year old ... #Clinical #Radiology ... #CTChest #LAM # ... #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
small pleural effusions ... #Clinical #Radiology ... #CTChest #COP # ... Organizing #Pneumonia #ILD ... #RadiologyAssistant