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
hypersensitivity pneumonitis ... hypersensitivity pneumonitis ... #Clinical #Radiology ... #CXR #CTChest # ... Chronic #Fibrosis #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... NodularPattern #Differential ... Comparison #Table #RadiologyAssistant
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
The differential ... hypersensitivity pneumonitis ... #Clinical #Radiology ... #CXR #Lateral # ... Sarcoidosis #Fibrosis #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
On the left a chest ... #Clinical #Radiology ... #CXR #CTChest # ... #Interstitial #Pneumonitis ... Reticular #ILD #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
The differential ... hypersensitivity pneumonitis ... #Clinical #Radiology ... #CTChest #GGO # ... HypersenstitivityPneumonitis #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... To differentiate ... #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 ... Hypersensitivity pneumonitis ... #Clinical #Diagnosis ... #Radiology #CTChest ... Metastases #Mimic #RadiologyAssistant
Here we have a prior CXR of this patient.
The AP-film shows a right paratracheal mass.
The azygoesophageal
we have a prior CXR ... border of the right atrium ... #Clinical #Radiology ... #CXR #CTChest # ... Esophagus #Aspiration #RadiologyAssistant
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Differential diagnosis ... Lymphoid interstitial pneumonitis ... #Clinical #Radiology ... #CTChest #Lymphangiomyomatosis ... #LAM #Cystic #RadiologyAssistant
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
hypersensitivity pneumonitis ... included in the differential ... #Clinical #Radiology ... #CTChest #Chronic ... HypersensitivityPneumonitis #Fibrosis #RadiologyAssistant