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COVID-19 Patient Chest CT

Dr. Filippo Cademartiri @fcademartiri

#COVID19 #SARSCoV2 #CTChest #Clinical #CriticalCare #GroundGlass #CoronaVirus #CXR #ChestXRay
Patient Chest CT ... SARSCoV2 #CTChest #Clinical ... #CoronaVirus #CXR ... #ChestXRay
There are about a dozen x-ray findings, but two of them are especially important: Loss of
aortic knob/aortic-pulmonary ... and the calcium sign ... #Clinical #Diagnosis ... #Radiology #CXR ... #ChestXRay #AorticKnob
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... consolidation due to a pneumonia ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
this patient have pneumonia ... infiltrate (e.g., CXR ... , CT, ultrasound ... chest pain) and signs ... #Pneumonia #Venn
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
most common) Clinical ... Abscess #Diagnosis #Pulmonary ... #Clinical #CXR ... #ChestXRay
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
, Cryptococcal pneumonia ... Aspergillus Pneumonia ... • CT: Halo sign ... - 20% of pneumonias ... Infections #HIV #AIDS #pulmonary
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... AirBronchogram #POCUS #CXR ... #Comparison #Clinical ... #Lung #Pulmonary ... #Clinical
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
- Increased pulmonary ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
X-ray limitations
It’s important to know the limitations of X-rays so we can correctly interpret them in
interpret them in clinical ... UltraSound (POCUS) to CT ... Diagnosis #Radiology #ChestXRay ... #KUB #CXR #Sensitivity
Westermark sign! (R pulmonary oligemia seen on CXR). Unicorns do exist! Seen in <2% of PE
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Westermark sign! ... (R pulmonary oligemia ... seen on CXR). ... @ASER_ERad #Clinical ... #ChestXRay #Westermark