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 of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Cysts #Differential
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... NodularPattern #Differential
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... #Clinical #Radiology ... #Pulmonary #CTChest ... Carcinomatosis #Mimic #Differential
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... To differentiate ... #Clinical #Diagnosis ... #Radiology #CTChest
Differential diagnosis of TB.
Primary TB: Acute bacterial pneumonia
Secondary TB: Sarcoidosis, Silicosis, Pneumoconiosis
Endobronchial spread of TB: Bronchopneumonia,
Differential diagnosis ... #Clinical #Diagnosis ... #Radiology #CTChest
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Differential diagnosis ... #Clinical #Radiology ... #CTChest #Lymphangiomyomatosis
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
The differential ... #Clinical #Radiology ... #CTChest #GGO #
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... #Clinical #Diagnosis ... #Radiology #CTChest
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
On the left a chest ... most challenging differential ... helpfull in the differential ... #Clinical #Radiology ... #CXR #CTChest #
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
be high in the differential ... #Clinical #Radiology ... #CTChest #CHF #