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 ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #Patterns #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 ... 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
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
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
demarcated. - Consolidations ... small pleural effusions ... carcinoma, the diagnosis ... #Clinical #Radiology ... Pneumonia #ILD #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural effusion ... #Clinical #Radiology ... Cystic #Pattern #Comparison ... #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
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
#Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison ... Histiocytosis #RadiologyAssistant
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
Diffuse consolidation ... cause of diffuse consolidation ... Look for other signs ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant