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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Chest XRay Consolidation Pattern - Differential Algorithm #Diagnosis #Radiology #Pulmonary #CXR #Consolidation #Pattern #Differential #Algorithm #RadiologyAssistant
Chest XRay Consolidation ... Algorithm #Diagnosis #Radiology ... #Pulmonary #CXR ... #Consolidation ... Differential #Algorithm #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... Consolidation - ... Diagnosis #Clinical #Radiology ... #CXR #Consolidation ... #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
glass opacity and consolidation ... #Clinical #Radiology ... #HRCT #CTChest ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Sarcoidosis end-stage: consolidation ... #Clinical #Radiology ... #HRCT #CTChest ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
Consolidation is ... or tumor cells (Table ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #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
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: 'signet ring sign ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Differential #Comparison ... #Table #RadiologyAssistant
On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
left we see a chest ... #Clinical #Radiology ... #CXR #CTChest # ... FingerInGlove #Sign ... #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
feeding vessel sign ... which are probably consolidations ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant