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
looking at the lateral ... Sterptococcus pneumoniae ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
On the chest x-ray ... In the proper clinical ... #Clinical #Radiology ... #CXR #AirBronchogram ... #RadiologyAssistant
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
bronchoalveolar carcinoma ... proteinaceous material ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
bronchoalveolar carcinoma ... of organizing pneumonia ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
DD bronchogenic carcinoma ... bronchoalveolar carcinoma ... cryptogenic organizing pneumonia ... #Clinical #Radiology ... #ILD #RadiologyAssistant
Here a pneumonia which was hidden in the right lower lobe mainly below the level of
Here a pneumonia ... density on the lateral ... #Clinical #Radiology ... #CXR #RLL #Pneumonia ... Subtle #Diaphragm #RadiologyAssistant
Lungcancer
10% of lungcancers cavitate, most commonly squamous cell carcinoma.
Small cell lungcancer does not cavitate.
Bronchoalveolar carcinoma, or
squamous cell carcinoma ... Here a chest x-ray ... #Clinical #Radiology ... #CXR #LungCancer ... Cavity #Cavitary #RadiologyAssistant
Diffuse consolidation in bronchoalveolar carcinoma
The chest x-ray shows diffuse consolidation with 'white out' of the left
bronchoalveolar carcinoma ... The chest x-ray ... #Clinical #Radiology ... #CXR #Consolidation ... #Bronchogram #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
adenopathy, known carcinoma ... pulmonary edema: bilateral ... demarcated secondary lobeles ... #Clinical #Radiology ... Comparison #Table #RadiologyAssistant
PA view
On the PA chest-film it is important to examine all the areas where the lung
we will discuss later ... #Clinical #Anatomy ... #Radiology #CXR ... #Normal #Labeled ... ParatrachealStripe #RadiologyAssistant