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
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
very important to differentiate ... proteinaceous material ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #RadiologyAssistant
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
looking at the lateral ... This was a consolidation ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
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
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
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
Batwing A bilateral ... distribution of consolidation ... #Diagnosis #Radiology ... #CXR #Batwing # ... Differential #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
findings in OP - Bilateral ... be migratory. - Lesions ... with the typical bilateral ... #Clinical #Radiology ... Pneumonia #ILD #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
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
demonstrates more lesions ... which are probably consolidations ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
First study the images and then continue reading.
On the lateral view there is a mass-like lesion
On the lateral view ... is a mass-like lesion ... #Clinical #Radiology ... #CXR #Lateral # ... #Atelectasis #RadiologyAssistant