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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Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
enlargement The table ... vessels #Diagnosis #Radiology ... #CXR #HilarEnlargement ... #Enlargement #Differential ... #RadiologyAssistant
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
There is fibrosis ... The differential ... #Clinical #Radiology ... #CXR #Lateral # ... #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
, as in cystic fibrosis ... (CF) and allergic ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
x-ray (left) and CHF ... The lateral view ... #Clinical #Radiology ... #CXR #Lateral # ... #Thickening #RadiologyAssistant
On the left another patient with congestive heart failure.
The lateral view nicely demonstrates the increased diameter
The lateral view ... #Clinical #Radiology ... #CXR #CHF #Peribronchial ... PeribronchialCuffing #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
70% of cases of CHF ... On a lateral image ... #Clinical #Radiology ... #CXR #CHF #Pleural ... PleuralEffusion #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... with end-stage fibrosis ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... pulmonary edema: bilateral ... #Clinical #Radiology ... #Comparison #Table ... #RadiologyAssistant
Congestive heart failure
The findings are:
 - bilateral perihilar consolidation with air bronchograms and ill-defined borders
 -
findings are: - bilateral ... #Clinical #Radiology ... #CXR #CHF #RadiologyAssistant
TB
This patient presented first with the CXR on the left.
The findings are:
Widespread ill-defined densities, which are
first with the CXR ... later on the right ... upper lobe minimal fibrosis ... #Clinical #Radiology ... SecondaryTB #Cavitary #RadiologyAssistant