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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation ... Emphysema #SignetRing #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... LAM is a rare lung ... airways leading to pulmonary ... LAM also occurs ... #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic nodules are ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
Here are the most ... patterns on a chest ... mass - Solitary Pulmonary ... Consolidation #Patterns #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
These are often ... pleural nodules are ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... Differential #Algorithm #RadiologyAssistant
POCUS Echo of Acute Massive Saddle Pulmonary Embolism

Here's a great teaching Echo of a patient I
POCUS Echo of Acute ... Massive Saddle Pulmonary ... patient I once took care ... educational GIF - Sam ... @EM_RESUS #Pulmonary
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism ... in patients who are ... @nickmmark #Pulmonary ... Embolism #Treatment #AcutePE ... #Management #CriticalCare
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
• Flow 6-10 LPM ... • Face Tents are ... venturi valves are ... Devices #management #pulmonary ... #criticalcare
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... stenosis of proximal LAD ... week of becoming acute ... period without chest ... Serial EKGS in pts are
Airway Pressure Release Ventilation (APRV) - Early application of airway pressure release ventilation may reduce the
ventilation in acute ... Intensive Care Med ... VisualAbstract #Pulmonary ... #EBM #CriticalCare