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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On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
the appropriate clinical ... #Clinical #Radiology ... #CXR #CTChest # ... FingerInGlove #Sign ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... : 'signet ring sign ... central dot. - LIP #Clinical ... Diagnosis #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern ... Comparison #Table #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern ... Comparison #Table #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
in the proper clinical ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... such as cogan sign ... and the ice pack test ... include a Tensilon test ... patients need chest
β–Ί
On the left another typical case of sarcoidosis.
In addition to the perilymphatic nodules, there are multiple
#Clinical #Radiology ... #CTChest #Sarcoidosis ... Peribronchovascular #Nodular ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... opacities - Fine Nodular ... Atelectasis #Diagnosis #Clinical ... Consolidation #Patterns #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... #Clinical #Diagnosis ... Radiology #Pulmonary #CTChest ... #Nodular #Pattern ... Comparison #Table #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
this case the chest ... demonstrated a fine nodular ... #Clinical #Radiology ... #Sarcoidosis #Nodular ... Interstitial #Pattern #RadiologyAssistant