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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Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... HRCT #ChestCT #Differential ... #Table #Distribution ... RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... The table summarizes ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #Table #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
x-ray there is an ill-defined ... density in the right upper ... of chronic consolidation ... Clinical #Radiology #CXR ... Lobar #Pneumonia #RadiologyAssistant
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Causes of GI Bleed ... colitis, UC/Chrons (IBD ... Lower #GIBleed #differential ... #diagnosis #Causes ... #algorithm
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
with multifocal consolidations ... masses. ... dealing with the differential ... Clinical #Radiology #CXR ... OrganizingPneumonia #BOOP #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
In most cases these ... In some cases however ... Diagnosis #Radiology #CXR ... #Differential # ... RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
(ground-glass, consolidation ... random) Is there an upper ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... this pattern was caused ... The upper lobe predominance ... Clinical #Radiology #CXR ... Histiocytosis #Cystic #RadiologyAssistant