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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Chest XRay Consolidation Pattern - Differential Algorithm #Diagnosis #Radiology #Pulmonary #CXR #Consolidation #Pattern #Differential #Algorithm #RadiologyAssistant
Chest XRay Consolidation ... Algorithm #Diagnosis ... #Radiology #Pulmonary ... #CXR #Consolidation ... #Algorithm #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
opacities - Fine Nodular ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Diffuse consolidation in bronchoalveolar carcinoma
The chest x-ray shows diffuse consolidation with 'white out' of the left
Final diagnosis: ... #Clinical #Radiology ... #CXR #Consolidation ... BronchoalveolarCarcinoma #AirBronchogram ... #Bronchogram #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
Notice the air-bronchogram ... causes of chronic consolidation ... #Clinical #Radiology ... #CXR #AirBronchogram ... Lobar #Pneumonia #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
there is an air-bronchogram ... of chronic consolidation ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
chronic illness, clinical ... in fact this is nodular ... #Clinical #Diagnosis ... #Radiology #CXR ... #Causes #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Sarcoidosis On a CXR ... #Clinical #Radiology ... #Nodular #Interstitial ... #Pattern #Sarcoidosis ... #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... the pleura, air-bronchograms ... which are probably consolidations ... #Clinical #Radiology ... #CXR #CTChest #
Here a typical lobar consolidation.
First study the images, then continue reading.
The findings are:
increased density with ill-defined
lower lobe air-bronchogram ... resulting in an air-bronchogram ... #Clinical #Radiology ... #CXR #AirBronchogram ... Lobar #Pneumonia #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... (ground-glass, consolidation ... bronchiectasis) #Diagnosis ... Interpretation #Algorithm ... #ILD #RadiologyAssistant