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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Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... not specific β€’ Chest ... β€’ Ventilation-perfusion ... Pulmonary Vessels Thrombi ... Pulmonary Vessels Thrombi
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the differential diagnosis ... fluid or solid material ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
small pleural effusions ... carcinoma, the diagnosis ... #Clinical #Radiology ... #CTChest #COP # ... Pneumonia #ILD #RadiologyAssistant
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... then the next tests ... are not POCUS: serial ... Echocardiogram #A4C ... #clinical #cardiology
β–Ί
Here we see a CT-image.
The azygoesophageal recess is displaced by lymph nodes that compress the left
compress the left atrium ... The final diagnosis ... #Clinical #Radiology ... #CTChest #Mediastinal ... #Displacement #RadiologyAssistant
Alveolar proteinosis is a rare disease characterized by filling of the alveolar spaces with PAS positive
with PAS positive material ... The diagnosis is ... #Clinical #Radiology ... #CTChest #AlveolarProteinosis ... #CrazyPaving #RadiologyAssistant
The location of the cardiac valves is best determined on the lateral radiograph.
A line is drawn
cardiac valves is best ... enlargement of the left atrium ... #Clinical #Diagnosis ... #Radiology #CXR ... #Mitral #MVR #RadiologyAssistant
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
mm depends on clinical ... Low probability: Serial ... definitive tissue diagnosis ... #Management #Radiology ... Pulmonary #Nodules #RadiologyAssistant