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 ... LIP #Clinical #Diagnosis ... #Radiology #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... cysts. ... #Clinical #Diagnosis ... #Radiology #CTChest ... Histiocytosis #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
diagnostic list ... most important diagnoses ... listed in the table ... Management #Radiology #Lung ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... low attenuation (table ... #Pulmonary #CXR ... #RadiologyAssistant
Cystic Lung Disease
Upper Lobe Predominant: 
Langerhans Cell Histiocytosis, Pneumocystis Jiroveci, Hypersensitivity Pneumonitis, Neurofibromatosis Type 1, Paracoccidioidomycosis,
Cystic Lung Disease ... Disease (LCDD), Cystic ... Pulmonary Metastatic ... #Lung #Disease ... #differential #diagnosis
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... edema #Diagnosis ... HRCT #ChestCT #Differential ... #Table #Distribution ... #Upper #Lower #RadiologyAssistant
Cystic lung disease
Lung cysts are defined as radiolucent areas with a wall thickness of less than
Cystic lung disease ... Lung cysts are ... Cystic lung diseases ... listed in the table ... #Pulmonary #Cystic
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... cyst in the upper ... is a possible diagnosis ... airways leading to pulmonary ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Causes of Nail Clubbing - Mnemonic 
Cyanotic Heart Disease, Cystic Fibrosis
Lung Cancer, Lung abscess 
Ulcerative Colitis
Heart Disease, Cystic ... , Lung abscess ... Endocarditis, Idiopathic Pulmonary ... Nails #Mnemonic #Differential ... #Causes #Diagnosis