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 Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP #Clinical ... Diagnosis #Radiology #CTChest ... #Comparison #Table ... #RadiologyAssistant
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... Peripheral distribution ... HRCT #ChestCT #Differential ... #Table #Distribution ... Central #Peripheral #RadiologyAssistant
Pain Assessment and Management Initiative (PAMI) - Nerve Blocks - Nerve Distribution, Agents and Dosing Table
Blocks - Nerve Distribution ... Agents and Dosing Table ... Management #Pain #Pharmacology ... Nerve #Blocks #Medications ... Doses #Dosing #Table
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
perilymphatic distribution ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
perilymphatic distribution ... #Clinical #Radiology ... #HRCT #CTChest ... 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 #CTChest ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
HRCT #ChestCT #Differential ... #Table #Distribution ... #Upper #Lower #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic distribution ... the overlap in differential ... Pulmonary #HRCT #CTChest ... Perilymphatic #Nodular #Differential ... #RadiologyAssistant
Hyperkalemia - Differential Diagnosis - Impaired Excretion vs Redistribution

Impaired Urinary Excretion 
 - Renal failure
 -
Hyperkalemia - Differential ... Impaired Excretion vs Redistribution ... Rhabdomyolysis Medications ... #Hyperkalemia #Differential ... #Diagnosis #Table
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
in number, the distribution ... periplymphatic distribution ... Pulmonary #HRCT #CTChest ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant