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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
looking at the lateral ... #Clinical #Radiology ... #CXR #Pneumonia ... #Lingula #SilhouetteSign ... #RadiologyAssistant
On a normal lateral chest film the silhouette of the left diaphragm 2- can be seen
One should be able ... #CXR #Pneumonia ... #RLL #Lateral # ... SilhouetteSign # ... RadiologyAssistant
On the left a patient with rheumatoid arthritis and bilateral peripheral consolidations as a result of
arthritis and bilateral ... as a result of organizing ... pneumonia. ... #Clinical #Radiology ... #ILD #RadiologyAssistant
On the left a patient who complained of arthritic pain.

There are multiple small bilateral peripheral consolidations.
The
multiple small bilateral ... pneumonia, but ... #Clinical #Radiology ... #Pneumonia #ILD ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
usually multiple ill-defined ... Other examples are organizing ... OP is organizing ... #Diagnosis #Radiology ... Differential #Table #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
the diagnosis of organizing ... pneumonia (OP) ... #Clinical #Radiology ... #Distribution #Organizing ... #BOOP #RadiologyAssistant
First study the CXR.
Notice the subtle increased density in the area behind the heart that needs
was a lower lobe pneumonia ... #Clinical #Radiology ... #CXR #LLL #Pneumonia ... #Subtle #SilhouetteSign ... #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
of cryptogenic organizing ... pneumonia was made ... #Clinical #Radiology ... #Pneumonia #ILD ... #RadiologyAssistant
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
diseases like organizing ... pneumonia (OP) ... proteinaceous material ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Left lower lobe atelectasis - There is a triangular density seen through the cardiac shadow.
This must
abnormality located posterior ... confirmed on the lateral ... opposite #Clinical #Radiology ... #CXR #LLL #Lobar ... #Collapse #RadiologyAssistant