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 another case. On the PA-film a mass is seen that fills the aortopulmonary window. Final
Final diagnosis: ... #Clinical #Radiology ... #CXR #Lateral # ... APWindow #AP #Window ... Fullness #SCLC #RadiologyAssistant
There are about a dozen x-ray findings, but two of them are especially important: Loss of
aortic-pulmonary window ... and the calcium sign ... #Clinical #Diagnosis ... #Radiology #CXR ... AorticKnob #Dissection #APWindow
Aortopulmonary window
The aortopulmonary window is the interface below the aorta and above the pulmonary trunk and
concave or straight laterally ... is convex laterally ... #Clinical #Radiology ... #CXR #APWindow ... Hodgkins #Lymphoma #RadiologyAssistant
Left upper lobe atelectasis
What are the findings?
 - Minimal volume loss with elevation of the left
, which is the collapsed ... lobe #Clinical #Radiology ... #CXR #Lateral # ... LUL #Lobar #Collapse ... #APWindow #RadiologyAssistant
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... looking at the lateral ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
The PET better demonstrates the extent of the lymphnode metastases in this patient.
Final diagnosis: small cell
Final diagnosis: ... #Clinical #Radiology ... #CXR #PET #APWindow ... #AP #Window #Fullness ... #SCLC #RadiologyAssistant
Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
branching vessels #Diagnosis ... #Radiology #CXR ... Differential #Unilateral #Bilateral ... #RadiologyAssistant
Right middle lobe atelectasis
First study the x-rays and then continue reading.
What are the findings?
Blurring of the
border (silhouette sign ... as a result of collapse ... #Clinical #Radiology ... #CXR #Lateral # ... SilhouetteSign #RadiologyAssistant
Left lower lobe atelectasis - There is a triangular density seen through the cardiac shadow.
This must
confirmed on the lateral ... opposite #Clinical #Radiology ... #CXR #LLL #Lobar ... #Collapse #RadiologyAssistant
There is an atelectasis of the left upper lobe.
You would not expect the apical region to
#Clinical #Radiology ... #CXR #Lateral # ... LUL #Lobar #Collapse ... #Luftsichel #Sign ... LuftsichelSign #RadiologyAssistant