Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... appreciate on a cest ... in many cases UIP ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
COVID-19 POCUS

96 yrs old, discharged 3 wks ago for CAP, treated with amox/clav then cefixime. Returns
96 yrs old, discharged ... CXR with consolidation ... bilateral pattern ... Test done: positive ... #Clinical #Lung
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The PET better demonstrates the extent of the lymphnode metastases in this patient.
Final diagnosis: small cell
Final diagnosis: ... #Clinical #Radiology ... #CXR #PET #APWindow ... #AP #Window #Fullness ... #SCLC #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
or multifocal ill-defined ... the amount of air ... #Diagnosis #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Here another case. On the PA-film a mass is seen that fills the aortopulmonary window. Final
Final diagnosis: ... #Clinical #Radiology ... #CXR #Lateral # ... APWindow #AP #Window ... Fullness #SCLC #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
on the CXR. ... to confirm the diagnosis ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Honeycombing #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... in the proper clinical ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
maybe there is an air-bronchogram ... the differential diagnosis ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
, ↑Tbili/Dbili/AP ... , ↑INR, ↑BUN/Cr, ... ↓Antithrombin Ill ... • Ultrasound = ... ) Differential Diagnosis