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 ... RadiologyAssistant
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
pneumonia (COP), chronic ... #Diagnosis #Radiology ... HRCT #ChestCT #Differential ... #Table #Distribution ... Central #Peripheral #RadiologyAssistant
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... Infectious colitis, UC/Chrons ... (IBD), Radiation ... #GIBleed #differential ... diagnosis #Causes #algorithm
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... The table summarizes ... Chronic diseases ... #Diagnosis #Radiology ... #Table #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
air-bronchogram in the right lower ... dealing with the differential ... diagnosis of chronic ... #Clinical #Radiology ... OrganizingPneumonia #BOOP #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
HP (right) Differential ... Subacute stage: - RB-ILD ... UIP has a strong lower ... Clinical #Diagnosis #Radiology ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
an upper versus lower ... bronchiectasis) #Diagnosis #Radiology ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
Chronic hypersensitivity ... in the mid and lower ... included in the differential ... #Clinical #Radiology ... HypersensitivityPneumonitis #Fibrosis #RadiologyAssistant
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
honeycombing in the left lower ... or fibrosis in chronic ... disease in the differential ... #Clinical #Radiology ... DrugRelated #Fibrosis #RadiologyAssistant