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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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
and cardiogenic pulmonary ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
- Aspiration - Pulmonary ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT ... #Differential #Table
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... diagnosis of perilymphatic ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Perilymphatic #Nodular #Differential
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... on HRCT Most of ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Interstitial #Pattern #Differential
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
#Diagnosis #Radiology ... #Pulmonary #HRCT ... MultipleNodules #Nodules #Differential
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
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... making an accurate diagnosis ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Perilymphatic #Comparison
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... thread for POCUS Pulmonary ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
β–Ί
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary ... #GroundGlass #Differential