Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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 ... in interstitial lung ... low attenuation (table ... is interstitial lung ... #Differential #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... Radiology #Pulmonary #CTChest ... NodularPattern #Differential ... #Comparison #Table
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern ... throughout the lungs ... inhalational injury Differential ... #differential # ... pulmonary #CXR #clinical
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
evaluation - Chest ... X-ray - Lung ultrasound ... - CBC with differential ... diagnostics as clinically ... iBookCC #COVID19 #algorithm
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... cells results in a pattern ... with interstitial lung ... has a limited differential ... diagnosis (Table
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
the duodenum Clinical ... • Should be on differential ... intervention, no matter ... how long ago ... the OR • HD stable
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
scan: the mosaic pattern ... mid and lower lung ... included in the differential ... #Clinical #Radiology ... #CTChest #Chronic
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
or NSIP pattern ... consider drug-related lung ... disease in the differential ... #Clinical #Radiology ... #CTChest #DrugInduced
Lung sliding & pneumonia on POCUS
The differential diagnosis for absence of lung sliding includes pneumonia; however,
on POCUS The differential ... for absence of lung ... interface—this pattern ... from the anterior chest ... pneumonia #POCUS #clinical
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On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... there is a broad differential ... and additional clinical ... mandatory for the interpretion ... #CTChest #RBILD