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 ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... Cystic #Cysts #Differential ... Comparison #Table #RadiologyAssistant
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
The differential ... diagnosis includes ... #Clinical #Radiology ... Sarcoidosis #Fibrosis #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... NodularPattern #Differential ... Comparison #Table #RadiologyAssistant
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 #RadiologyAssistant
Differential diagnosis of TB.
Primary TB: Acute bacterial pneumonia
Secondary TB: Sarcoidosis, Silicosis, Pneumoconiosis
Endobronchial spread of TB: Bronchopneumonia,
Differential diagnosis ... #Clinical #Diagnosis ... #Radiology #CTChest ... Metastases #Mimic #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... #Clinical #Radiology ... Carcinomatosis #Mimic #Differential ... Comparison #Table #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
dealing with the differential ... diagnosis of chronic ... Biopsy revealed the diagnosis ... #Clinical #Radiology ... OrganizingPneumonia #BOOP #RadiologyAssistant
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Differential diagnosis ... #Clinical #Radiology ... #LAM #Cystic #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
The differential ... diagnosis is hypersensitivity ... #Clinical #Radiology ... HypersenstitivityPneumonitis #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... diagnosis of Hypersensitivity ... #Clinical #Diagnosis ... #Radiology #CTChest ... Fibrosis #Mimic #ILD #RadiologyAssistant