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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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 ... #Pleural #Effusion ... #Differential #RadiologyAssistant
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
A-lines (parietal pleura ... effusion - Reduced ... Edema: - Widespread ... Possible bilateral effusion ... #differential #diagnosis
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
- Differential Diagnosis ... edema β€’ Atelectasis ... malformation Pleura ... : β€’ Pleural effusion ... #Differential #Diagnosis
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
The diagnosis based ... edema. ... #Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 β€’ Smooth pleural line
 β€’ AIS >
Edema vs ARDS ... pleural line ... β€’ Irregular pleural ... line + sub-pleural ... #clinical #diagnosis
β–Ί
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
edema due to heart ... non-cardiogenic edema ... Kerley B-lines and pleural ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
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
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
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 β€’ Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
edema; ARDS, Metastatic ... Castleman's disease β€’ Pleural ... effusion; empyema ... (NHL, primary effusion ... #differential #diagnosis
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 β€’ Acute: Trauma, COPD exacerbation, Asthma
- Differential Diagnosis ... Pulmonary/Chest ... effusion, Pneumonia ... effusion, Pulmonary ... decompensated CHF