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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On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
#Clinical #Diagnosis ... #Radiology #CTChest ... Cystic #Comparison #LAM ... Histiocytosis #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
The diagnosis based ... #Clinical #Radiology ... #CTChest #SeptalThickening ... #CHF #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Cystic LCH: - LAM ... central dot. - LIP #Clinical ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... LAM also occurs ... #Clinical #Radiology ... #RadiologyAssistant
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Recurrent anginal chest ... troponin elevation Diagnosis ... perform provocative tests ... in cath lab Treatment ... #management
Aortic Stenosis - Diagnosis and Stages

Clinical Presentation
- Exertional dyspnea
- Chest pain
- Palpitations
- HF Symptoms (orthopnea, PND,
Aortic Stenosis - Diagnosis ... and Stages Clinical ... Exertional dyspnea - Chest ... Palpitations - HF ... #Stages #Management
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Differential diagnosis ... typical case of LAM ... #Clinical #Radiology ... #CTChest #Lymphangiomyomatosis ... #LAM #Cystic #RadiologyAssistant
Guillain-Barré Syndrome (GBS)
Acute autoimmune demyelinating polyradiculoneuropathy that presents with rapidly progressive flaccid weakness
Epidemiology:
 • Incidence: 1
transplantation CLINICAL ... and sensitive tests ... for diagnosis of ... specific therapy, the clinician ... #management #neurology
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
attached to the chest ... is a possible diagnosis ... LAM also occurs ... #Clinical #Radiology ... #RadiologyAssistant
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
the differential diagnostic ... #Clinical #Radiology ... #CTChest #CHF # ... IntersitialEdema #Septal #RadiologyAssistant