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Clinical presentation: 22 year old man with pyrexia, dyspnoea and cyanosis. A worried ITU. consultant requested pulmonary angiography, which gave us this nice example of physiology. There is density in the right lower zone with loss of silhouette of the diaphragm, right heart margin and the basal vessels in the right lower lobe. The visible upper horizontal margin marks a pleural boundary, but is not the highest point of the affected lung. There is a visible air-bronchogram. Of particular interest in this case is the angiogram showing diversion of blood away from the abnormal lobe in a bid to maintain normal oxygen tension in the systemic circulation. |
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![[Differential]](smallgif/differential.gif)
cases that might resemble this pathology
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Aspiration misplaced NG tube (case report) | ![]() |
Pulmonary oedema, altered by underlying lung disease COPD. (case report) | ||
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Pulmonary infarct (case report) | ![]() |
Sickle cell crisis (case report) | ||
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Pulmonary contusion (case report) | ![]() |
interlobar effusion (case report) | ||
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Fibrosing Alveolitis (case report) | ![]() |
Lymphoma (case report) | ||
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Alveolar cell carcinoma (case report) | ![]() |
Hydrocarbon pneumonia (case report) | ||
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sub-phrenic abcess (case report) |
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IDM April 2006