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 of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Differential #Comparison
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung cysts ... Lymphangiomyomatosis, LIP ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Cystic #Comparison
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
(LAM, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... can heal and end up ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... #Clinical #Diagnosis ... #CTChest #Nodular ... NodularPattern #Differential ... #Comparison #Table
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 ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in UIP ... multilayered thick-walled cysts ... lymphadenopathy #Clinical ... #Radiology #CTChest ... #Pneumonitis #ILD
On the left a chest film of a patient with UIP due to IPF.
The findings on
a patient with UIP ... thick walls of the cysts ... #Clinical #Radiology ... #CXR #CTChest # ... Pneumonitis #Reticular #ILD
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
there is a broad differential ... and additional clinical ... patient was coughing up ... #Clinical #Radiology ... #CTChest #RBILD