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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Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Cysts #Differential ... #Comparison #Table
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... diagnosis there ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Comparison #Table
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
Chronic hypersensitivity ... included in the differential ... diagnosis. ... #Clinical #Radiology ... #CTChest #Chronic
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 β€’ Guidelines as SBP β‰₯130 or DBP β‰₯ 90 mmHg
 β€’
insufficiency (Cr ... or doubling of Cr ... so have high clinical ... htn #obstetrics #cardiology ... #differential #
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
caused by multiple cysts ... diagnosis in this ... #Clinical #Radiology ... #CXR #CTChest # ... Histiocytosis #Cystic
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
HP (right) Differential ... diagnosis of Hypersensitivity ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
The differential ... diagnosis includes ... chronic hypersensitivity ... #Clinical #Radiology ... #CXR #Lateral #
It can be difficult to distinguish these three entities.
There are two diagnostic hints for further differentiation:
-
There are two diagnostic ... bronchiolitis or chronic ... penicillamine) #Clinical ... #Radiology #CTChest ... MosaicAttenuation #Mosaic