74 results
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 ... most likely a lobar ... AirBronchogram #RUL ... #Lobar #Pneumonia
Left lower lobe atelectasis - There is a triangular density seen through the cardiac shadow.
This must
contour of the left diaphragm ... Radiology #CXR #LLL ... #Lobar #Collapse
Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory
causes the flaccid diaphragm ... Respirations #Breathing #Diaphragm ... #Clinical #Video
Hoover's sign on Physical Exam
Paradoxical retraction of the lower intercostal spaces on inspiration
Pulmonary hyperinflation → flattening
flattening of the diaphragm ... the flattened diaphragm ... PhysicalExam #Clinical #Video
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
but functioning, diaphragm ... resulting flattened diaphragm ... #PhysicalExam #Video
Here are the most common examples of these four patterns on a chest x-ray (click image
Consolidation - Lobar ... consolidation - Multifocal ill-defined
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
- Lobar or focal ... usually multiple ill-defined ... For instance a lobar ... Consolidation #Lobar
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
flail chest and diaphragm ... respiratory #clinical #video
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Checklist Outline ALL ... morphology Gas under diaphragm
The contours of the left and right diaphragm should be visible.
The right diaphragm should be visible
left and right diaphragm ... The right diaphragm ... should be visible all ... The left diaphragm ... structures below the diaphragm