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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Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
The table lists ... the differential ... #Diagnosis #Radiology ... #Pulmonary #CXR ... RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... The table summarizes ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Table #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
which are probably consolidations ... #Clinical #Radiology ... #CXR #CTChest # ... #SepticEmboli #Cavity ... #RadiologyAssistant
Lungcancer
10% of lungcancers cavitate, most commonly squamous cell carcinoma.
Small cell lungcancer does not cavitate.
Bronchoalveolar carcinoma, or
present as multiple lesions ... #Clinical #Radiology ... #CXR #LungCancer ... #Cancer #Cavity ... #Cavitary #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
with multifocal consolidations ... dealing with the differential ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant
TB
This patient presented first with the CXR on the left.
The findings are:
Widespread ill-defined densities, which are
probably small consolidations ... Cavity in the right ... #Clinical #Radiology ... #SecondaryTB #Cavitary ... #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
or an area of consolidation ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cavity #Cyst # ... Emphysema #Comparison #RadiologyAssistant
Primairy TB is usually clinically silent.
In 5% of infected individuals the immunity is inadequate and clinically
On the CXR it is ... seen as consolidation ... #Clinical #Radiology ... #TB #Cavitary # ... SecondaryTB #RadiologyAssistant
Cavitation - Pneumonia
In virulent pyogenic infections an abscess may form within the consolidated lung as a
coughed up, a cavity ... resolution of the consolidation ... #Clinical #Radiology ... #CXR #CTChest # ... CavitaryPneumonia #RadiologyAssistant
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
influenced by: Gravity ... with perihilar consolidations ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... AlveolarEdema #RadiologyAssistant