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Here are the most common examples of these four patterns on a chest x-ray (click image
Consolidation - ... Lobar consolidation ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #Patterns #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
patient who had a CT ... The diagnosis based ... #Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
the cause of the consolidation ... chronic illness, clinical ... #Clinical #Diagnosis ... #Radiology #CXR ... #Causes #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... can suggest the diagnosis ... which are probably consolidations ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
Bilateral peripheral consolidations ... demarcated. - Consolidations ... carcinoma, the diagnosis ... #Clinical #Radiology ... Pneumonia #ILD #RadiologyAssistant
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
Still useful for diagnosis ... of CHF with reasonable ... #PhysicalExam #Clinical ... #Video #JVP #VolumeStatus ... #Cardiology #HJR
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Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
with multifocal consolidations ... the differential diagnosis ... of chronic consolidation ... #Clinical #Radiology ... OrganizingPneumonia #BOOP #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
cystic fibrosis (CF ... with asthma or CF ... CT demonstrated ... #Clinical #Radiology ... Mucus #Plugging #RadiologyAssistant
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
seen when the consolidations ... transudate like in CHF ... #Clinical #Radiology ... #CTChest #CHF # ... Gravity #Dependent #RadiologyAssistant
The CT-image is not very helpful in the differentiation.
There are hypodense areas, which could be masses.
On
The CT-image is ... could be areas of consolidation ... Finally the diagnosis ... #Clinical #Radiology ... #RadiologyAssistant