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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Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
- Interstitial edema ... Stage II of CHF ... #Clinical #Radiology ... #CXR #CHF #KerleyB ... #RadiologyAssistant
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
cardiogenic pulmonary edema ... #Diagnosis #Radiology ... HRCT #ChestCT #Differential ... #Table #Distribution ... Central #Peripheral #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Aspiration - Pulmonary edema ... #Diagnosis #Radiology ... HRCT #ChestCT #Differential ... #Table #Distribution ... #Upper #Lower #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
gravitational distribution ... cardiogenic pulmonary edema ... #Clinical #Radiology ... SeptalThickening #CHF ... #RadiologyAssistant
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
, to differentiate ... heart failure like redistribution ... pulmonary blood flow, Kerley ... #Diagnosis #Radiology ... #RadiologyAssistant
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 ... #Comparison #Table ... #RadiologyAssistant
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 # ... KerleyB #Kerley ... IntersitialEdema #Septal #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
predominance (Kerley ... and perihilar distribution ... #Clinical #Radiology ... Pattern #Comparison #Table ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... gravitational distribution ... #Clinical #Radiology ... #Comparison #Table ... #RadiologyAssistant