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
bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... HRCT #ChestCT #Differential ... #Table #Distribution ... #Upper #Lower #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
perilymphatic distribution ... perilymphatic distribution ... Clinical #Diagnosis #Radiology ... NodularPattern #Differential ... #Comparison #Table
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... Clinical #Diagnosis #Radiology ... Cystic #Cysts #Differential ... #Comparison #Table
Differential diagnosis of the reversed halo sign (RHS). AIA, angioinvasive aspergillosis; AIS, adenocarcinoma in situ; COP,
Differential diagnosis ... +Upper respiratory ... perilymphatic distribution ... Diagnosis #Pulmonary #Radiology ... #Algorithm
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... seen in smokers, upper ... UIP has a strong lower ... zone distribution ... #CTChest #UIP #Comparison
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... cysts along with nodules ... cavities in an upper ... presentations - ILD ... #Diagnosis #differential
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
HR-pattern: reticular nodular ... random) Is there an upper ... versus lower zone ... bronchiectasis) #Diagnosis #Radiology ... Interpretation #Algorithm