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 Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Cardiogenic pulmonary ... #Clinical #Radiology ... #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
Broncho-alveolar ... consolidation #Clinical #Radiology ... #HRCT #CTChest ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
the air in the alveoli ... or tumor cells (Table ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In these cases comparison ... a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
transudate like in CHF ... #Clinical #Radiology ... #CTChest #CHF # ... Alveolar #Pulmonary ... Gravity #Dependent #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Alveolar proteinosis ... #Clinical #Radiology ... #HRCT #CTChest ... Reticular #Pattern #Comparison ... #Table #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
differential diagnosis (Table ... or lymphoma and alveolar ... #Diagnosis #Radiology ... #CTChest #Reticular ... #Differential #RadiologyAssistant
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
heart failure (CHF ... finally into the alveoli ... can be seen on a chest-film ... #Diagnosis #Radiology ... Findings #Diagram #RadiologyAssistant
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
features on the chest ... film (Table). ... #Diagnosis #Radiology ... #CHF #CXR #Stages ... Findings #Signs #RadiologyAssistant