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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Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... and cardiogenic pulmonary ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... MultipleNodules #Nodules #Differential
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic distribution ... the overlap in differential ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... perilymphatic distribution ... #Clinical #Radiology ... #HRCT #CTChest
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... diagnosis in the nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... NodularPattern #Nodular
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
perilymphatic distribution ... perilymphatic distribution ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... NodularPattern #Differential
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... patterns: reticular, nodular ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Interstitial #Pattern #Differential
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... Centrilobular distribution ... bronchiolitis #Diagnosis #Radiology ... #Pulmonary #CTChest ... #GroundGlass #Differential
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... / Low SVR: β€’ Distributive ... β€’ Obstructive: Pulmonary ... #criticalcare #algorithm ... #treatment #management