A hospice intensivist

Lung consolidation, organizing pneumonia diagnosed by transbronchial Lung biopsy
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After transbronchial lung biopsy by bronchoscope, organizing pneumonia was diagnosed

After prednisolone treatment, the left lung consolidation was improved.

RUL lung nodule incidentally found on chest CT scan
Early lung cancer

Usual interstitial pneumonia (UIP): lower lobe, honeycombing pattern, fibroblastic foci。
IPF (idiopathic pulmonary fibrosis): pathology UIP without other cause of interstitial lung disease

Desquamative interstitial pneumonitis (DIP)/RB-ILD: DIP is usually more extensive, alveolar macrophages with brown and finely granular pigmentation. The treatment of RB-ILD is smoking cessation .

Lymphoid interstitial pneumonitis (LIP): lymphocytes and plasma cells

Langerhans’-cell histiocytosis: Nodules and cysts, Predominantly upper-lobe disease, Sparing of the costophrenic angles

Organizing Pneumonia: mucopolysacharide-rich matrix, with young fibroblasts,

RML atelectasis

RLL consolidation and atelectasis (volume reduction)

Bronchoscopy examination showed sputum impaction, no endobronchial lesion.

retrocardiac tumor 


chest x ray 3 years ago

silhouette sign positive: mass touch the border of descending aorta




adenocarcinoma

42 y/o ceramic worker
pneumoconiosis with PMF
situs inversus
pneumothorax

post chest tube

CT negative findings, favor a unilateral left nipple

Typical nipple shadow




 Nipple in a man, but the the plain film was not unchanged.

right 4th rib hypoplasia

Low O2, Pneumothorax, or pulmonary embolism ?


Pneumothorax, not pulmonary embolism



 empyema or lung abscess?


empyema not lung abscess




 TB pneumonia


progress to TB ARDS