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 Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... #Clinical #Radiology ... Carcinomatosis #Mimic ... Comparison #Table ... #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
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... central dot. - LIP #Clinical ... #Comparison #Table ... #RadiologyAssistant
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
another patient with alveolar ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema ... AlveolarEdema #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... Redistribution #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
chronic illness, clinical ... filling of the alveoli ... in fact this is nodular ... #Clinical #Diagnosis ... Consolidation #Causes #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... centrilobular emphysema. - Alveolar ... #Clinical #Diagnosis ... #CTChest #UIP #Comparison ... #ILD #RadiologyAssistant
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
transudate like in CHF ... #Clinical #Radiology ... #CTChest #CHF # ... Alveolar #Pulmonary ... Gravity #Dependent #RadiologyAssistant
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
redistribution of the pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema ... AlveolarEdema #RadiologyAssistant
On the left a patient with CHF. 
There is an increase in heart size compared to
a patient with CHF ... redistribution of pulmonary ... that helpful, but comparison ... #Clinical #Radiology ... #Comparison #RadiologyAssistant