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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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
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... usually multiple ill-defined ... #Diagnosis #Radiology ... #Differential #Table ... #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
Chronic eosinophilic pneumonia ... consolidation #Clinical ... #Radiology #HRCT ... Pattern #Comparison #Table ... #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Cryptogenic organizing pneumonia ... #Clinical #Radiology ... Pattern #Comparison #Table ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis: ill ... #Clinical #Radiology ... Pattern #Comparison #Table ... #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
larger ones are ill-defined ... excludes eosinophilic pneumonia ... of organizing pneumonia ... #Clinical #Radiology ... OrganizingPneumonia #BOOP #RadiologyAssistant
Left lower lobe atelectasis - There is a triangular density seen through the cardiac shadow.
This must
the opposite #Clinical ... #Radiology #CXR ... #LLL #Lobar #Collapse ... #RadiologyAssistant
Left upper lobe atelectasis
What are the findings?
 - Minimal volume loss with elevation of the left
left upper lobe #Clinical ... #Radiology #CXR ... #Lateral #LUL # ... Lobar #Collapse ... #APWindow #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
bronchiolitis: ill ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... Differential #Comparison #Table ... #RadiologyAssistant
First study the CXR.
Notice the subtle increased density in the area behind the heart that needs
was a lower lobe pneumonia ... #Clinical #Radiology ... #CXR #LLL #Pneumonia ... SilhouetteSign #RadiologyAssistant