She's so good! Extremely clear on these xrays. I wish she would do some CT scans and MRIs similar to this so that it's easy to identify. Thank you Dr. Verma!
Consolidation lung - filling of pus,blood,cells in alveoli Air bronchogram- air in lung(black on Xray) , surrounding area which used to have air have consolodation now(white) Silhoutte sign(consolidation have same density as surrounding structure so that the surrounding structure margin can no longer be identified) Spine sign- lower lumbar vertebra is more bright because x ray has to penetrate the consolidation too Lingular consolidation- see image* pleural effusion- no air bronchogram present, Silhouette sign present, concave upper border(meniscus) of opacity is seen Pneumothorax- thin white line of epithelium divides collapsed lung tissue from pneumothorax in which bronchovascular markings are also absent. Pneumothorax is best visible on expiratory X-Ray. No shift of trachea and mediastinal structures in case of simple pneumothorax Emphysema- Hyperinflation of lung will push the dialhragm and can cause it's flattening or even concavity(normal diaphragm is dome shaped), tubular heart, bronchovascular markings decrease(because their is air trapping in lungs)
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Consolidation is like a build-up of fluid in the lung, replacing the areas where air should be. Can be due to infection, where there's an inflammatory component leading to exudate or transudate accumulation. Collapse can be due to: - Pneumothorax: air invading the pleural space (space between the lungs and thoracic wall, total lung collapse. This is common after puncture incidents like being stabbed in the lung. - Atelectasis: blockage/pressure inside or outside of the bronchial tubes leading to collapse of one or more lobes. An example could be a sputum plug causing a blockage, leading to collapse. Think it's important to remember the pressure gradient. As air enters the thoracic cavity during inspiration = thoracic volume increases. This then leads to decreased lung pressure. During expiration, thoracic volume decreases and pressure inside the lung increases in order to push that air out (with assistance from diaphragm relaxation). I think collapse happens when that gradient gets messed up. I'm still learning, so I apologise if I am incorrect.
@@Lishaaaaaaa u explained this right , but he is saying how to differentiate between them on X ray , cause both appears white , one would say , collapse is accompanied by tracheal shift to the same side , but what if it doesnt happen because of a small area of collapse? It remains a dilemma , needs CT Chest
"multifocal ground glass opacities with consolidation are noted in both lunges in peripheral non lobar distribution., predominantly in lower lobes" can you explain this sentence?
Sounds like classic description of atypical, possibly Covid pneumonia. It generally presents, early on at least, as ground glass opacities in the peripheral lung parenchyma. It then can progress to more generalized consolidations throughout both lungs, and consistent with ARDS.
She's so good! Extremely clear on these xrays. I wish she would do some CT scans and MRIs similar to this so that it's easy to identify. Thank you Dr. Verma!
I just became a better student by 70% after watching this
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First ever lecturio vdo on utube which was awesome
Consolidation lung - filling of pus,blood,cells in alveoli
Air bronchogram- air in lung(black on Xray) , surrounding area which used to have air have consolodation now(white)
Silhoutte sign(consolidation have same density as surrounding structure so that the surrounding structure margin can no longer be identified)
Spine sign- lower lumbar vertebra is more bright because x ray has to penetrate the consolidation too
Lingular consolidation- see image*
pleural effusion- no air bronchogram present, Silhouette sign present, concave upper border(meniscus) of opacity is seen
Pneumothorax- thin white line of epithelium divides collapsed lung tissue from pneumothorax in which bronchovascular markings are also absent. Pneumothorax is best visible on expiratory X-Ray. No shift of trachea and mediastinal structures in case of simple pneumothorax
Emphysema- Hyperinflation of lung will push the dialhragm and can cause it's flattening or even concavity(normal diaphragm is dome shaped), tubular heart, bronchovascular markings decrease(because their is air trapping in lungs)
Really impressive. Concisely explained.
Thank you for the amazing concise explanation
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so good!!!! I literally remember everything now
Thank you!
She's very good!! I loved the explanation
I appreciated you Dr.
A good job. Go ahead.
Very informative. Thank you!
amazing channel >> keep up ..... its very useful
You are a great teacher 🔥🔥🔥
Very informative.
Thank you.
My doctor excellent presentation
Thank you so much! God bless you!
Clear and informative
Thank you so for the great explanations!!!
The right upper lobe consolidation abuts the MINOR / HORIZINTAL fissure, am I right? Not the major/oblique 🤨
Very beautifully explained.
Thank you thank you so much!!
You made it so simple
Thanks
Thank you so much that was super helpful 🙏🏻
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Excellent lecture 👍👍❣️
Well explained!
Thanks very clear information
Spot on!
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Thank u very much🙏
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Thank you ma'am!
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Thank You Ma'am😁!
Very good explanation. Thank you
simple and precise
V v v informative, clears a lot doubts to me .. thanks a lot ma'am ..wishes from India 🙏🙏
This was really good!
Good job
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Thank you
Will chest X-ray detect gynecomastia?
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what a good video
Thanks a lot ma'am
Excellent..
I am confused between collapse and consolidation?
Consolidation is like a build-up of fluid in the lung, replacing the areas where air should be. Can be due to infection, where there's an inflammatory component leading to exudate or transudate accumulation.
Collapse can be due to:
- Pneumothorax: air invading the pleural space (space between the lungs and thoracic wall, total lung collapse. This is common after puncture incidents like being stabbed in the lung.
- Atelectasis: blockage/pressure inside or outside of the bronchial tubes leading to collapse of one or more lobes. An example could be a sputum plug causing a blockage, leading to collapse.
Think it's important to remember the pressure gradient. As air enters the thoracic cavity during inspiration = thoracic volume increases. This then leads to decreased lung pressure.
During expiration, thoracic volume decreases and pressure inside the lung increases in order to push that air out (with assistance from diaphragm relaxation).
I think collapse happens when that gradient gets messed up. I'm still learning, so I apologise if I am incorrect.
Am i confused also between , Pleural effusion vs Lower lobe consolidation?
@@Lishaaaaaaa u explained this right , but he is saying how to differentiate between them on X ray , cause both appears white , one would say , collapse is accompanied by tracheal shift to the same side , but what if it doesnt happen because of a small area of collapse? It remains a dilemma , needs CT Chest
In pleural effusion shadow their is no air bronchogram ... most of consolidation ..air bronchogram must
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2:19
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"multifocal ground glass opacities with consolidation are noted in both lunges in peripheral non lobar distribution., predominantly in lower lobes" can you explain this sentence?
Any reply from her
My husband has same problem
Sounds like classic description of atypical, possibly Covid pneumonia. It generally presents, early on at least, as ground glass opacities in the peripheral lung parenchyma. It then can progress to more generalized consolidations throughout both lungs, and consistent with ARDS.
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👍🏻
Very beautifully explained.
Thank you thank you so much!!
Thank you
Great
thank you