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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Pulmonary Tuberculosis - Patterns of Involvement
 โ€ข Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... - Loculated effusion ... #TB #Patterns #chest ... #xray #clinical ... #radiology #CXR
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
edema due to heart ... Kerley B-lines and pleural ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... If pleural effusion ... seen on a supine chest ... #Clinical #Radiology ... #CXR #CHF #Pleural
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 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
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
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
POCUS Pulmonary ... POCUS - Whatโ€™s the diagnosis ... effusion where ... #clinical #video ... #POCUS #pulmonary
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Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
Stage II of CHF ... perpendicular to the pleura ... #Clinical #Radiology ... #CXR #CHF #KerleyB ... #RadiologyAssistant
Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Examination Pulmonary ... drain - Whatโ€™s the diagnosis ... effusion where ... #PhysicalExam #clinical ... #video #pulmonary
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Pleural fluid
It takes about 200-300 ml of fluid before it comes visible on an CXR (figure).
About
visible on an CXR ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Effusion #Hidden ... Volume #Diagram #RadiologyAssistant