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
: 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #Table #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 ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant
On the left two cases with chronic consolidation. 
There are patchy non-segmental consolidations in a subpleural
The final diagnosis ... will be other signs ... look like this #Clinical ... #Radiology #CTChest ... OrganizingPneumonia #RadiologyAssistant
he CT shows a lesion that originates in the lung.
Many would have a lungcancer on the
their differential diagnostic ... the comet tail sign ... #Clinical #Radiology ... #CTChest #RoundedAtelectasis ... #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
challenging differential diagnosis ... the central dot sign ... #Clinical #Radiology ... #CXR #CTChest # ... Histiocytosis #Cystic #RadiologyAssistant
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
also demonstrate signs ... the differential diagnostic ... #Clinical #Radiology ... #CTChest #CHF # ... IntersitialEdema #Septal #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
(dark bronchus sign ... excluding UIP as diagnosis ... #Clinical #Radiology ... #CTChest #NSIP ... NonspecificInterstitialPneumonia #ILD #RadiologyAssistant
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
Signs of fibrosis ... left suggest the diagnosis ... #Clinical #Radiology ... #CTChest #Chronic ... HypersensitivityPneumonitis #Fibrosis #RadiologyAssistant
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
#Clinical #Radiology #CXR #CTChest #Longstanding #Sarcoidosis #Fibrosis #Conglomerate #Nodules #RadiologyAssistant
#Clinical #Radiology ... #CXR #CTChest # ... Conglomerate #Nodules #RadiologyAssistant