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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On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
The HRCT shows focal ... the appropriate clinical ... #Clinical #Radiology ... #CXR #CTChest # ... FingerInGlove #Sign
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
#Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
#Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
#Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
#Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
#Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
consolidation #Clinical ... #Radiology #HRCT ... #CTChest #HighAttenuation ... Pattern #Comparison #Table
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
: 'signet ring sign ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic ... Differential #Comparison #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... on HRCT Most of ... On HRCT there are ... low attenuation (table ... #Diagnosis #Radiology
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #