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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Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
The table summarizes ... perihilar (batwing) or peripheral ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #Table #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Diffuse ... Nodule - Multiple Masses ... Clinical #Radiology #CXR ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... seen and in many cases ... #Differential # ... RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... nodules along the central ... the nodules are diffuse ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
masses. ... There is a peripheral ... dealing with the differential ... Clinical #Radiology #CXR ... OrganizingPneumonia #BOOP #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... lower zone or a central ... versus peripheral ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... was caused by multiple ... can identify the central ... Clinical #Radiology #CXR ... Histiocytosis #Cystic #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
In most cases these ... to segmental, diffuse ... Diagnosis #Radiology #CXR ... Consolidation #Differential ... #RadiologyAssistant
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
has a limited differential ... The most common causes ... Diagnosis #Radiology #CXR ... Lobar #Collapse #Patterns ... #Comparison #RadiologyAssistant