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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Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
and the nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Nodular #Pattern ... #Differential #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... histiocytosis: early nodular ... #Pulmonary #CTChest ... #Nodular #Pattern ... NodularPattern #Differential
Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes
centrilobular nodules ... narrowing the differential ... irregular and often nodular ... Diagnosis #Pathophys #Radiology ... #Pulmonary #CTChest
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
hepatobiliary phase β€’ Contrast ... hemangioma, Focal nodular ... Hepatic #Ultrasound #Contrast ... #CT #MRI #POCUS ... #radiology #differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Differential/diagnosis ... Echocardiogram #A4c ... #clinical #cardiology
β–Ί
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
Differential diagnosis of the reversed halo sign (RHS). AIA, angioinvasive aspergillosis; AIS, adenocarcinoma in situ; COP,
Differential diagnosis ... pneumonia; PZ, pulmonary ... immunosuppression, close contact ... #Diagnosis #Pulmonary ... #Radiology #RHS
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Liver Lesions on Contrast ... hemangioma, Focal nodular ... Hepatic #Ultrasound #Contrast ... #POCUS #radiology ... #differential #
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... HR-pattern: reticular nodular ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Interpretation