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 ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
On the left a patient with rheumatoid arthritis and bilateral peripheral consolidations as a result of
arthritis and bilateral ... of organizing pneumonia ... #Clinical #Radiology ... RheumatoidArthritis #ILD ... #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
Lobar pneumonia ... x-ray there is an ill-defined ... In the proper clinical ... #Clinical #Radiology ... #RadiologyAssistant
On the left a patient who complained of arthritic pain.

There are multiple small bilateral peripheral consolidations.
The
multiple small bilateral ... also organizing pneumonia ... #Clinical #Radiology ... Cryptogenic #Organizing #Pneumonia ... #ILD #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... the differential diagnosis ... The old name is ... #Diagnosis #Radiology ... Differential #Table #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
idiopathic interstitial pneumonias ... vascular diseases (e.g ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #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
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
the differential diagnosis ... Biopsy revealed the diagnosis ... of organizing pneumonia ... #Clinical #Radiology ... OrganizingPneumonia #BOOP #RadiologyAssistant
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
a delta wave, short ... 120 msec) 3 Short ... WolffParkinsonWhite #WPW #Cardiology ... #ECG #EKG #Electrocardiogram ... #Clinical #Diagnosis
Left Anterior Fascicular Block on EKG
 β€’ Left axis deviation (LAD) (-45 degrees to -90 degrees)
waves in leads II, Ill ... Fascicular #Block #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram ... #labeled #clinical