Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
When the cysts have ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cavity #Cyst # ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: - LAM: round cysts ... Centrilobular emphysema ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Cysts
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Pattern #NodularPattern
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #RadiologyAssistant
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Differential diagnosis ... 90% are smokers, cysts ... Centrilobular emphysema ... Lymphoid interstitial ... #Clinical #Radiology
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... to confirm the diagnosis ... #Clinical #Radiology ... #Interstitial # ... #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
is a reticular patern ... caused by multiple cysts ... challenging differential diagnosis ... #Clinical #Radiology ... Histiocytosis #Cystic #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... are paraseptal emphysema ... broad differential diagnosis ... #Clinical #Radiology ... #CTChest #RBILD