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 #
Estimated Medical Radiation Doses for 5 Year-Old Child

3-view ankle	0.0015 mSv	1/14th CXRs
2-view chest	0.02 mSv	1 CXRs
Anteroposterior and lateral
14th CXRs 2-view chest ... mSv 765 CXRs Upper ... #PatientInfo #Radiology ... #Nuclear #Comparison ... #Table #Risks #
Radiation Dose to Adults from Common Imaging Examinations
ABDOMINAL REGION
 - Computed Tomography (CT) β€” Abdomen and
Barium Enema (Lower ... mSv 3 years - Upper ... #PatientInfo #Radiology ... #Nuclear #Comparison ... #Table #Risks #
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 ... #CTChest #UIP # ... Comparison #Chronic
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
random) Is there an upper ... versus lower zone ... bronchiectasis) #Diagnosis #Radiology ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
suspected) - CT ... chest; CT abdomen ... swelling, dyspnea, upper-extremity ... interventional radiology ... 100 000 (can be lower
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
emphysema in the upper ... these non-specific CT ... there is a broad differential ... #Clinical #Radiology ... #CTChest #RBILD