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
Peripheral distribution ... #Diagnosis #Radiology ... HRCT #ChestCT #Differential ... #Table #Distribution ... #RadiologyAssistant
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
sparing of the periphery ... Reverse Batwing Peripheral ... #Diagnosis #Radiology ... #CXR #Batwing # ... Differential #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
the pattern of distribution ... (batwing) or peripheral ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Table #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... the nodules are diffuse ... #Diagnosis #Radiology ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
heart failure like redistribution ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential # ... RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
distribution. ... dealing with the differential ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #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
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
gravitational distribution ... #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 ... strong lower zone distribution ... parenchyma from the periphery ... Clinical #Diagnosis #Radiology ... #ILD #RadiologyAssistant