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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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
looking at the lateral ... This was a consolidation ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
the differential diagnosis ... post-obstructive pneumonia ... proteinaceous material ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
Consolidation - ... Lobar consolidation ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #Patterns #RadiologyAssistant
Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
Lobar consolidation ... The most common diagnosis ... is lobar pneumonia ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... that present with consolidation ... the differential diagnosis ... #Diagnosis #Radiology ... Differential #Table #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
carcinoma, the diagnosis ... cryptogenic organizing pneumonia ... #Clinical #Radiology ... Cryptogenic #Organizing #Pneumonia ... #ILD #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
Chronic eosinophilic pneumonia ... Chronic eosinophilic pneumonia ... glass opacity and consolidation ... #Clinical #Radiology ... Comparison #Table #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
Lobar pneumonia ... In the proper clinical ... causes of chronic consolidation ... #Clinical #Radiology ... #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
Lobar pneumonia ... Organizing pneumonia ... #Clinical #Diagnosis ... #Radiology #CXR ... #Causes #RadiologyAssistant
On the left a patient with rheumatoid arthritis and bilateral peripheral consolidations as a result of
arthritis and bilateral ... peripheral consolidations ... of organizing pneumonia ... #Clinical #Radiology ... RheumatoidArthritis #ILD #RadiologyAssistant