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
the overlap in differential ... #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 ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... MultipleNodules #Nodules #Differential
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
: nodules with perilymphatic ... : nodules with perilymphatic ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... NodularPattern #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
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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
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 ... centrilobular, perilymphatic ... #Pulmonary #HRCT ... #CTChest #Interpretation
Differential diagnosis of the reversed halo sign (RHS). AIA, angioinvasive aspergillosis; AIS, adenocarcinoma in situ; COP,
Differential diagnosis ... pneumonia; PZ, pulmonary ... immunosuppression, close contact ... small nodules with perilymphatic ... #Radiology #RHS
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
in interstitial pulmonary ... Nodular or irregular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular