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 ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia ... #Lingula #SilhouetteSign
First study the CXR.
Notice the subtle increased density in the area behind the heart that needs
First study the CXR ... was a lower lobe pneumonia ... #Clinical #Radiology ... #CXR #LLL #Pneumonia ... #Subtle #SilhouetteSign
First study the CXRs.
There is a subtle consolidation in the left lower lobe in the hidden
First study the CXRs ... #Clinical #Radiology ... #CXR #Pneumonia ... Retrocardiac #SpineSign #SilhouetteSign
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
the differential diagnosis ... post-obstructive pneumonia ... proteinaceous material ... #Diagnosis #Radiology ... #Pulmonary #CXR
On this lateral film there is too much density over the lower part of the spine.
By
anterior to the pneumonia ... The pneumonia does ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
Batwing A bilateral ... it is seen in pneumonias ... #Diagnosis #Radiology ... #CXR #Batwing #
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Syndrome – ARDS: Clinical ... hypoxemia and bilateral ... detected on CT or CXR ... oxygenation in pneumonia ... Summary #CheatSheet #Diagnosis
On a normal lateral chest film the silhouette of the left diaphragm 2- can be seen
On a normal lateral ... #Clinical #Radiology ... #CXR #Pneumonia ... #RLL #Lateral # ... SilhouetteSign #
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
the differential diagnosis ... Biopsy revealed the diagnosis ... of organizing pneumonia ... #Clinical #Radiology ... #CXR #Peripheral
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Differential Diagnosis ... rarely typical pneumonia ... #differential #diagnosis ... #pulmonary #CXR ... #clinical #CT