2867 results
There is displacement of the azygoesophageal line both superiorly an inferiorly.
There is an air-fluid level (arrow).
Combined
diagnosis was achalasia ... result from prior aspiration ... #Clinical #Radiology ... #CXR #Achalasia ... AirFluidLevel #Aspiration
Here we have a prior CXR of this patient.
The AP-film shows a right paratracheal mass.
The azygoesophageal
the result of aspiration ... #Clinical #Radiology ... #CXR #CTChest #Achalasia ... Dilated #Esophagus #Aspiration
Pathophysiology Of Constriction
Exaggerated Ventricular Interdependence:
 • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Filling During Inspiration ... /Expiration • ... With inspiration ... With inspiration ... pathophysiology #cardiology
Achalasia Management Algorithm
 - Botulinum Injection
 - Pharmacotherapy (CCB/nitrates)
 - Pneumatic Dilation
 - Peroral Endoscopic Myotomy
Achalasia Management ... Esophagectomy #Achalasia
Ivor Lewis Esophagectomy on Chest X-Ray aka Gastric Pull-up
Ivor Lewis procedure is a type of esophagectomy
remind you of Achalasia ... distinguish it from achalasia ... cxr #clinical #radiology
Paradoxic Breathing in Pediatric Respiratory Distress - Improved after nebulizers and HFNC

Inward chest wall movement with
movement with inspiration ... movement with expiration
Body Fluid Aspiration and Interpretation
 - Arthrocentesis
 - Paracentesis
 - Thoracentesis
 - Lumbar Puncture

Dr. Sarah Foohey
Body Fluid Aspiration ... #Body #Fluid #Aspiration
Kussmaul's Sign on Physical Exam

Kussmaul sign is a paradoxical rise in jugular venous pressure (JVP) on
pressure (JVP) on inspiration ... of the JVP with inspiration ... #PhysicalExam #Cardiology
Salmonella Aspiration on Microscopy

66 y/o male with history of coronary artery disease presents with abdominal pain.
Salmonella Aspiration ... Gram stain of aspiration ... international radiology ... #Salmonella #Aspiration
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
seen in: - UIP - Aspiration ... edema #Diagnosis #Radiology