Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... most common) Clinical ... • Carbapenem (e.g ... meropenem) #Lung ... #CXR #ChestXRay
There are about a dozen x-ray findings, but two of them are especially important: Loss of
and the calcium sign ... #Clinical #Diagnosis ... #Radiology #CXR ... #ChestXRay #AorticKnob
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
shows a silhouette sign ... looking at the lateral ... anteriorly in the left lung ... #Clinical #Radiology ... #CXR #Pneumonia
Transposition of Great Arteries (TGA) on Chest XRay
 - Oval Shaped Cardiac Silhouette 
 - Narrow
vasculature - Egg-on-a-string ... GreatArteries #TGA #CXR ... #ChestXRay #Radiology ... #Diagnosis #Clinical
Garland Triad on Chest X-Ray in Sarcoidosis 
aka Pawnbroker's Sign - Right paratracheal and bilateral hilar
aka Pawnbroker's Sign ... paratracheal and bilateral ... #Chest #XRay #CXR ... #Pawnbrokers #Sign ... #clinical #radiology
A 50 yo F with a history of poor dentition presents to the ED with fever
A CXR is done. ... consistent w/ lung ... abscess #Clinical ... #Radiology #CXR ... #ChestXRay #Cavitary
Hypertrophic Cardiomyopathy (HOCM) - EKG Characteristics
Typical EKG findings may include:
 • Deep and narrow Q waves
Cardiomyopathy (HOCM) - EKG ... Q waves in the lateral ... leads • General signs ... #ecg #clinical ... #cardiology #electrocardiogram
X-ray limitations
It’s important to know the limitations of X-rays so we can correctly interpret them in
interpret them in clinical ... Point Of Care UltraSound ... #Diagnosis #Radiology ... #ChestXRay #KUB ... #CXR #Sensitivity
Congenital absence of the pericardium: 
- CXR: leftward shift of the cardiac silhouette, Snoopy sign, no
pericardium: - CXR ... silhouette, Snoopy sign ... #pericardium #clinical ... #cardiology #chestxray ... #cxr #radiology
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
involvement, with “white lung ... #Clinical #Radiology ... #CXR #ChestXRay