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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Here are the most common examples of these four patterns on a chest x-ray (click image
Consolidation - ... Lobar consolidation ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... #Patterns #RadiologyAssistant
Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
Lobar consolidation ... The table lists ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
peripheral areas of consolidation ... glass opacity and consolidation ... #Clinical #Radiology ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... This was a consolidation ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Sarcoidosis end-stage: consolidation ... #Clinical #Radiology ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
There are about a dozen x-ray findings, but two of them are especially important: Loss of
important: Loss of the aortic ... knob/aortic-pulmonary ... and the calcium sign ... #Clinical #Diagnosis ... #Radiology #CXR
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #Differential #Comparison ... #Table #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #Table ... #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
the cause of the consolidation ... chronic illness, clinical ... #Clinical #Diagnosis ... #Radiology #CXR ... #Causes #RadiologyAssistant
There are about a dozen x-ray findings, but two of them are especially important: Loss of
knob/aortic-pulmonary ... and the calcium sign ... positive calcium sign ... #Clinical #Diagnosis ... #Radiology #CXR