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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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... HRCT #ChestCT #Differential ... #Table #Distribution ... #Central #Peripheral ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... The table summarizes ... perihilar (batwing) or peripheral ... Radiology #Pulmonary #CXR ... #Table #RadiologyAssistant
Maculopapular Rashes - THE ALGORITHMIC APPROACH 

The term maculopapule is a portmanteau, a combination
of macule and
Maculopapular Rashes - THE ALGORITHMIC ... macule and papule (Table ... Maculopapular #Rash #Algorithm ... #Central #Peripheral ... #Differential
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
very important to differentiate ... with multiple peripheral ... are so small and diffuse ... Radiology #Pulmonary #CXR ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... 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
There is a peripheral ... dealing with the differential ... Clinical #Radiology #CXR ... #Peripheral #Distribution ... 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
lower zone or a central ... versus peripheral ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
as multifocal ill-defined ... to segmental, diffuse ... Diagnosis #Radiology #CXR ... Consolidation #Differential ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... Subacute stage: - RB-ILD ... parenchyma from the periphery ... towards the centrum ... #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... most challenging differential ... can identify the central ... Clinical #Radiology #CXR ... Histiocytosis #Cystic #RadiologyAssistant