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 ... HRCT #ChestCT #Differential ... #Table #Distribution ... #Upper #Lower # ... RadiologyAssistant
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... Peripheral distribution ... HRCT #ChestCT #Differential ... #Table #Distribution ... Central #Peripheral #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... perilymphatic distribution ... Cystic #Cysts #Differential ... #Comparison #Table ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... in number, the distribution ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower ... colitis, UC/Chrons (IBD ... CMC_IM #Upper #Lower ... #GIBleed #differential ... diagnosis #Causes #algorithm
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
perilymphatic distribution ... perilymphatic distribution ... NodularPattern #Differential ... #Comparison #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 ... is a peripheral distribution ... dealing with the differential ... CXR #Peripheral #Distribution ... OrganizingPneumonia #BOOP #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
. - Lower zone predominance ... Centrilobular distribution ... #GroundGlass #Differential ... #RadiologyAssistant
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 β€’ Chronic Myocardial Injury: End
Elevated Troponin Differential ... Diagnosis and Workup Algorithm ... , Non-Vascular Distribution ... Occlusion β€’ Stable ... #Diagnosis #Algorithm
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... The table summarizes ... to think of the differential ... the pattern of distribution ... #Table #RadiologyAssistant