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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The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
anteriorly in the left lung ... This was a consolidation ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
Lobar consolidation ... diagnosis is lobar pneumonia ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
post-obstructive pneumonia ... - Lung neoplasms ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
Lobar pneumonia ... nodular interstitial lung ... Clinical #Diagnosis #Radiology ... #CXR #Lobar #Consolidation ... #Causes #RadiologyAssistant
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
most typical of pulmonary ... it is seen in pneumonias ... #Diagnosis #Radiology ... #CXR #Batwing # ... Differential #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
weight loss or long ... causes of chronic consolidation ... #Clinical #Radiology ... #CXR #AirBronchogram ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
that present with consolidation ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Consolidation ... Differential #Table #RadiologyAssistant
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
) Day 2 - some pulmonary ... consolidations ... involvement, with β€œwhite lung ... #Clinical #Radiology ... #CXR #ChestXRay
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
densities in both lungs ... with multifocal consolidations ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
Lung infarction ... In pulmonar embolism ... #Clinical #Radiology ... #CXR #CTChest # ... PulmonaryEmbolism #RadiologyAssistant