Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... edema. ... #Clinical #Radiology ... #CTChest #SeptalThickening ... #CHF #RadiologyAssistant
Pleural effusion is seen in:
1. Pulmonary edema
2. Lymphangitic spread of carcinoma - often unilateral
3. Tuberculosis
4. Lymphangiomyomatosis
Pleural effusion ... Pulmonary edema ... Diagnosis #Radiology #Pulmonary ... #Pleural #Effusion ... #Differential #RadiologyAssistant
Pulmonary Tuberculosis - Patterns of Involvement
 โ€ข Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... - Loculated effusion ... effusion โ€ข Atelectasis ... #TB #Patterns #chest ... #xray #clinical
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
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural ... effusion; sometimes ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #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
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
POCUS Pulmonary ... effusion where ... โ€œescapesโ€ the pleura ... #clinical #video ... #POCUS #pulmonary
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Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Examination Pulmonary ... effusion where ... effusion (decompression ... #PhysicalExam #clinical ... #video #pulmonary
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Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 โ€ข Acute: Trauma, COPD exacerbation, Asthma
/Chest Wall: โ€ข ... effusion, Pneumonia ... Sarcoid, Tumor, Pleural ... effusion, Pulmonary ... decompensated CHF
Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
- Interstitial edema ... Stage II of CHF ... perpendicular to the pleura ... #Clinical #Radiology ... #RadiologyAssistant