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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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Radiology #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution ... #Central #Peripheral ... #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
pneumonia with peripheral ... pneumonia with peripheral ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
Maculopapular Rashes - THE ALGORITHMIC APPROACH 

The term maculopapule is a portmanteau, a combination
of macule and
Maculopapular Rashes - THE ALGORITHMIC ... macule and papule (Table ... Maculopapular #Rash #Algorithm ... #Central #Peripheral ... #Differential
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... emphysema: no walls, central ... 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 ... nodules along the central ... Radiology #Pulmonary #HRCT ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... lower zone or a central ... versus peripheral ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... thickening of the central ... Carcinomatosis #Mimic #Differential ... #Comparison #Table ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... show very similar HRCT ... parenchyma from the periphery ... towards the centrum ... #CTChest #UIP #Comparison