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 ... #Pneumonia #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
- Lobar or focal ... For instance a lobar ... #Diagnosis #Radiology ... Consolidation #Lobar ... Differential #Table #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
Consolidation - Lobar ... consolidation - Multifocal ill-defined ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... Consolidation #Patterns #RadiologyAssistant
On the left a patient with rheumatoid arthritis and bilateral peripheral consolidations as a result of
of organizing pneumonia ... #Clinical #Radiology ... Cryptogenic #Organizing #Pneumonia ... RheumatoidArthritis #ILD ... #RadiologyAssistant
On the left a patient who complained of arthritic pain.

There are multiple small bilateral peripheral consolidations.
The
also organizing pneumonia ... #Clinical #Radiology ... Cryptogenic #Organizing #Pneumonia ... #ILD #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
chronic illness, clinical ... Lobar pneumonia ... Organizing pneumonia ... #Radiology #CXR ... #Causes #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
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
small pleural effusions ... cryptogenic organizing pneumonia ... #Clinical #Radiology ... Cryptogenic #Organizing #Pneumonia ... #ILD #RadiologyAssistant
Here a typical lobar consolidation.
First study the images, then continue reading.
The findings are:
increased density with ill-defined
Here a typical lobar ... air-bronchogram Lobar ... #Clinical #Radiology ... AirBronchogram #LLL #Lobar ... #Pneumonia #RadiologyAssistant
Diffuse consolidation in bronchopneumonia
Here another case of diffuse consolidation.
This patient had fever and cough.
This was thought
Unlike lobar pneumonia ... to multifocal ill-defined ... #Clinical #Radiology ... #CXR #Pneumonia ... Legionella #Diffuse #RadiologyAssistant