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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
looking at the lateral ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
Lobar pneumonia ... x-ray there is an ill-defined ... #Clinical #Radiology ... #CXR #AirBronchogram ... #RadiologyAssistant
Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
The most common diagnosis ... is lobar pneumonia ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
On the left a patient with rheumatoid arthritis and bilateral peripheral consolidations as a result of
arthritis and bilateral ... of organizing pneumonia ... #Clinical #Radiology ... RheumatoidArthritis #ILD ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... the differential diagnosis ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Differential #Table #RadiologyAssistant
Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
branching vessels #Diagnosis ... #Radiology #CXR ... Differential #Unilateral #Bilateral ... #RadiologyAssistant
On the left a patient who complained of arthritic pain.

There are multiple small bilateral peripheral consolidations.
The
multiple small bilateral ... also organizing pneumonia ... #Clinical #Radiology ... Cryptogenic #Organizing #Pneumonia ... #ILD #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
the differential diagnosis ... Biopsy revealed the diagnosis ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
Batwing A bilateral ... it is seen in pneumonias ... #Diagnosis #Radiology ... #CXR #Batwing # ... Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Multifocal ill-defined ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant