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Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... edema #Diagnosis ... #Radiology #Pulmonary ... #Upper #Lower #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
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
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... in the proper clinical ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
80 - 90% of all diagnoses ... some of them the old ... #Diagnosis #Radiology ... #Pulmonary #SHITFACED ... Mnemonic #HRCT #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
Whenever you see an area of increased density within the lung, it must be the result
density within the lung ... or multifocal ill-defined ... #Diagnosis #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... comparison with old ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
x-ray there is an ill-defined ... weight loss or long ... #Clinical #Radiology ... #CXR #AirBronchogram ... Lobar #Pneumonia #RadiologyAssistant