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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... On a Chest X-Ray ... on a CXR. ... #Diagnosis #Radiology
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... - Lung cysts (LAM ... can be readily ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
- Chest Radiology ... Differential Diagnosis ... #Chest #Radiology ... #pulmonary #CXR ... #clinical #CT
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... on a chest x-ray ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Cystic LCH: - LAM ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic ... Differential #Comparison #Table
X-ray limitations
It’s important to know the limitations of X-rays so we can correctly interpret them in
interpret them in clinical ... Care UltraSound (POCUS ... ) to CT or MRI. ... #Diagnosis #Radiology ... ChestXRay #KUB #CXR
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
CT demonstrates ... film and can suggest ... the diagnosis in ... #Clinical #Radiology ... #CXR #CTChest #
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... So we can assume ... is a possible diagnosis ... #Clinical #Radiology ... #CXR #Pneumothorax
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
on POCUS Echocardiogram ... Diagnosis? ... Management? ... #ultrasound #Cardiology ... #PLAX #clinical
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... Differential #Comparison #Table