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 ... lung disease comes ... low attenuation (table ... lung disease and ... #Diagnosis #Radiology
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Progressive URI ... Differential Bilat ... lung disease, interstitial ... NOT definitively diagnose ... #POCUS #clinical
β–Ί
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
visible wall #CXR ... #Lucency #Differential ... #Table #CavitaryLesion ... #Pulmonary #Diagnosis ... #Radiology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 β€’ Toxoplasmosis (CD4 < 100)
 β€’ Other
Compatible syndrome + MRI ... lesions β€’ 80% with lung ... Lesions #Brain #differential ... #diagnosis #causes ... #radiology #neurology
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... this is nodular interstitial ... lung disease, that ... #Clinical #Diagnosis ... #Radiology #CXR
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
particularly at the lung ... to confirm the diagnosis ... pattern at the lung ... #Clinical #Radiology ... #Interstitial #
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
dependent part of the lungs ... be high in the differential ... diagnostic list ... #Clinical #Radiology ... #CTChest #CHF #
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
densities in both lungs ... multiple ill-defined masses ... dealing with the differential ... #Clinical #Radiology ... #CXR #Peripheral
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
In the lungs LV ... fluid into the interstitium ... pulmonary disease and causes ... #Diagnosis #Radiology ... #CHF #CXR #Features
Cortical Desmoid - MSK Radiology
Imaging Findings:
 β€’ Circumscribed, small cortically based Tl -hypointense and T 2-hyperintense
Desmoid - MSK Radiology ... Differential diagnosis ... MR is able to distinguish ... #mri #clinical ... #Radiology #diagnosis