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
#Diagnosis #Radiology ... 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
The table summarizes ... perihilar (batwing) or peripheral ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Table #RadiologyAssistant
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
with multiple peripheral ... are so small and diffuse ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
nodules along the central ... the nodules are diffuse ... #Diagnosis #Radiology ... 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 ... OrganizingPneumonia #BOOP #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
thickening of the central ... #Clinical #Radiology ... Carcinomatosis #Mimic ... Comparison #Table ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... parenchyma from the periphery ... towards the centrum ... Clinical #Diagnosis #Radiology ... #ILD #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 ... bronchiectasis) #Diagnosis #Radiology ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
to segmental, diffuse ... #Diagnosis #Radiology ... #CXR #Multifocal ... Consolidation #Differential ... #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... can identify the central ... #Clinical #Radiology ... #CXR #CTChest # ... Histiocytosis #Cystic #RadiologyAssistant