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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Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
pneumonitis are: Mosaic ... pattern with areas ... The HRCT shows a mosaic ... #Clinical #Radiology ... #CXR #CTChest #
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Miliary Pattern ... - Chest Radiology ... #Chest #Radiology ... #differential # ... #CXR #clinical
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
Chronic hypersensitivity ... expiratory scan: the mosaic ... included in the differential ... #Clinical #Radiology ... #CTChest #Chronic
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential # ... Comparison #Table
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
with ground glass pattern ... The differential ... diagnosis is hypersensitivity ... #Clinical #Radiology ... #CTChest #GGO #
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... to confirm the diagnosis ... Here a CXR with ... attributed to chronic ... #Clinical #Radiology
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 β€’ Guidelines as SBP β‰₯130 or DBP β‰₯ 90 mmHg
 β€’
of Pregnancy Chronic ... insufficiency (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
is a reticular patern ... recognized that this pattern ... diagnosis in this ... #Clinical #Radiology ... #CXR #CTChest #
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 #