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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Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
, and left pleural ... -chamber POCUS echocardiogram ... , left pleural effusion ... #s4c #POCUS #echocardiogram ... clinical #ultrasound #cardiology
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Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Pulmonary Tuberculosis - Patterns of Involvement
 β€’ Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... - Loculated effusion ... effusion β€’ Atelectasis ... Pal @drdevrad #Pulmonary ... xray #clinical #radiology
Pleural effusion is seen in:
1. Pulmonary edema
2. Lymphangitic spread of carcinoma - often unilateral
3. Tuberculosis
4. Lymphangiomyomatosis
Pleural effusion ... Pulmonary edema ... Asbestosis #Diagnosis #Radiology ... #Pulmonary #Pleural ... #Differential #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... If pleural effusion ... #Clinical #Radiology ... #CXR #CHF #Pleural ... #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural ... effusion; sometimes ... #Clinical #Radiology ... Comparison #Table #RadiologyAssistant
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 β€’ Acute: Trauma, COPD exacerbation, Asthma
attack, ILD flare, Pleural ... effusion, Pneumonia ... Sarcoid, Tumor, Pleural ... effusion, Pulmonary ... decompensated CHF
Large pleural effusion on Echocardiogram
Does this patient need pericardiocentesis?
In this case, large billateral pleural effusion can
Large pleural effusion ... on Echocardiogram ... large billateral pleural ... #effusion #Echocardiogram ... #clinical #cardiology
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Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
the presence of pleural ... fissures. - If pleural ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Differential #Algorithm #RadiologyAssistant