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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Lung Nodules - Differential Diagnosis by Distribution
 β€’ Centrilobular: Hypersensitivity Pneumonitis, RB-ILD, Pneumoconiosis, Infectious Bronchiolitis, Vasculitis,
Lung Nodules - Differential ... Diagnosis by Distribution ... Pneumonitis, RB-ILD ... Bronchiolitis, Vasculitis, Diffuse ... , Amyloidosis, LIP
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... pneumonia and UIP ... #Diagnosis #Radiology ... HRCT #ChestCT #Differential ... #Table #Distribution
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
in ground glass pattern ... predominance: UIP ... , NSIP, DIP. - Centrilobular ... distribution: Hypersensitivity ... #GroundGlass #Differential
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... is seen in: - UIP ... edema #Diagnosis #Radiology ... HRCT #ChestCT #Differential ... #Table #Distribution
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... the nodules are diffuse ... #Diagnosis #Radiology ... MultipleNodules #Nodules #Differential
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 ... Cystic #Cysts #Differential ... #Comparison #Table
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Diffuse distribution ... - LIP/FB, LCDD ... , SS Cyst pattern ... presentations - ILD ... #Diagnosis #differential
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
The table summarizes ... to look at the pattern ... of distribution ... more than one pattern ... #Diagnosis #Radiology
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... in many cases UIP ... #Diagnosis #Radiology ... #Differential #
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... findings of NSIP, UIP ... , OP and LIP have ... #Diagnosis #Radiology