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 on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... interstitial lung disease ... The cystic pattern ... #Pulmonary #CXR ... #Differential #
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Honeycombing Most diseases ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... to look at the pattern ... more than one pattern ... respond to the treatment ... #Pulmonary #CXR
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Miliary Pattern ... hematogenous spread of a disease ... Diagnosis of Miliary ... #diagnosis #pulmonary ... #CXR #clinical
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... Lung Disease (DCLD ... pattern not consistent ... #DCLD #pulmonary ... #differential
Cystic lung disease
Lung cysts are defined as radiolucent areas with a wall thickness of less than
Cystic lung disease ... Cystic lung diseases ... hydatid), septic emboli ... #Diagnosis #Radiology ... #Pulmonary #Cystic
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... , Severe Valve Disease ... β€’ Obstructive: Pulmonary ... Embolism, Tension
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
the left some diseases ... before the typical cysts ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... NodularPattern #Differential
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
embolism Pathophysiology ... regurgitation) Diagnosis ... mosaic parenchymal pattern ... Bypass Other Treatment ... have inoperable disease
Pulmonary Infections in HIV-AIDS
Bacterial: 
 β€’ No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
CD4 > 200: Pulm embolism ... Evaluation: Imaging (CXR ... Infectious Diseases ... HIVAIDS #workup #diagnosis ... #evaluation #differential