GeraldMD - GrepMed

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Dr. Gerald Diaz @GeraldMD

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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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

shows a silhouette sign ... anteriorly in the left lung ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant

There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the

There is a lung ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant

Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more

feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant

Here another patient with widespread pulmonary metastases of a cancer, that was located in the tongue.

with widespread pulmonary ... #Clinical #Radiology ... #CXR #CTChest # ... LungMets #Lung # ... #TongueCancer #RadiologyAssistant

Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels

supplying the lung ... In daily clinical ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant

Based on the images alone, it is usually not possible to determine the cause of the

and other non-pulmonary ... Pulmonary hemorrhage ... nodular interstitial lung ... #Radiology #CXR ... Consolidation #Causes #RadiologyAssistant

PA view
On the PA chest-film it is important to examine all the areas where the lung

the silhouette sign ... #Clinical #Anatomy ... #Radiology #CXR ... ParatrachealStripe #RadiologyAssistant ... ParaAorticLine #PAView #RadiologyAssistant

Pleural effusion is not always visible as a meniscus in the costophrenic angle.
A subpulmonic effusion

bubble and the lung ... a patient with signs ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant

Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)

waves caused by pulmonary ... has Kussmaul's sign ... #PhysicalExam # ... Clinical #Video ... #Cardiology

Good example of 'shred sign' in a patient with fever, cough and shortness of breath.

This

This POCUS finding ... multifocal pneumonia on CXR ... #pneumonia #clinical ... photo #ultrasound #lung ... #pulmonary

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