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Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... Cardiomyopathy - Valves ... • Diffuse Lung ... • Acute Respiratory ... #HeartFailure #Cardiology
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... centrilobular emphysema - Respiratory ... edema #Diagnosis ... #Radiology #Pulmonary ... #Upper #Lower #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... The diagnosis based ... #Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes
tree-in-bud' is of value ... the differential diagnosis ... identified in the lung ... #Radiology #Pulmonary ... TreeInBud #Diagram #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
is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
When a rib fracture heals, the callus formation may create a mass-like appearance (blue arrow).
Sometimes a
fracture from a lung ... Notice the large lung ... #Clinical #Radiology ... #CXR #Old #RibFracture ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant