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 ... anteriorly in the left lung ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the chest the lung ... inferior part of the lung ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura #RadiologyAssistant
First study the images and then continue reading.
On the lateral view there is a mass-like lesion
On the lateral view ... that this is a pleural ... #Clinical #Radiology ... #CXR #Lateral # ... #Atelectasis #RadiologyAssistant
Pleural plaques
The CXR shows multiple opacities.
They have irregular shapes and do not look like a lung
not look like a lung ... are usually: - bilateral ... #Clinical #Radiology ... #CXR #Pleural # ... Plaques #Asbestos #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
bubble and the lung ... bubble to the lung ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Pleural fluid may become encysted.
Here we see fluid entrapped within the fissure.
This can sometimes give the
Pleural fluid may ... #Clinical #Radiology ... #CXR #Lateral # ... #Pseudotumor #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
in the proper clinical ... lesions abutting the pleura ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
PA view
On the PA chest-film it is important to examine all the areas where the lung
we will discuss later ... lymphadenopathy, pleural ... #Clinical #Anatomy ... #Radiology #CXR ... ParatrachealStripe #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
On a lateral image ... evident on the lateral ... #Clinical #Radiology ... #CXR #CHF #Pleural ... PleuralEffusion #RadiologyAssistant
The contours of the left and right diaphragm should be visible.
The right diaphragm should be visible
the air in the lungs ... #Clinical #Anatomy ... #Radiology #CXR ... #Lateral #Hemidiaphragm ... #RadiologyAssistant