Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Here are the most common examples of these four patterns on a chest x-ray (click image
- Multifocal ill-defined ... opacities - Fine Nodular ... - Multiple Masses ... Clinical #Radiology #CXR ... #Patterns #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Hypersensitivity pneumonitis: ill ... bronchiolitis: ill ... #Pattern #NodularPattern ... Differential #Comparison #Table ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #Differential #Table ... #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... of the consolidation ... in fact this is nodular ... Diagnosis #Radiology #CXR ... #Causes #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Sarcoidosis On a CXR ... can present as consolidation ... they may resemble consolidation ... Clinical #Radiology #CXR ... #Sarcoidosis #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 ... of chronic consolidation ... lobar pneumonia caused ... Clinical #Radiology #CXR ... Lobar #Pneumonia #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
or multifocal ill-defined ... . 3- Nodule or mass ... Diagnosis #Radiology #CXR ... #Consolidation ... #Patterns #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
with multifocal consolidations ... masses. ... diagnosis of chronic consolidation ... Clinical #Radiology #CXR ... OrganizingPneumonia #BOOP #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
nodules. ... nodules and a feeding ... which are probably consolidations ... Clinical #Radiology #CXR ... SepticEmboli #Cavity #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
Multifocal Multifocal consolidations ... In most cases these ... In some cases however ... Diagnosis #Radiology #CXR ... #Differential #RadiologyAssistant