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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Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... edema #Diagnosis ... HRCT #ChestCT #Differential ... #Table #Distribution
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution ... Central #Peripheral #RadiologyAssistant
Lung Nodules - Differential Diagnosis by Distribution
 β€’ Centrilobular: Hypersensitivity Pneumonitis, RB-ILD, Pneumoconiosis, Infectious Bronchiolitis, Vasculitis,
Lung Nodules - Differential ... Diagnosis by Distribution ... Pneumonitis, RB-ILD ... #Diagnosis #Distribution ... #pulmonary
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
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 β€’ Hypersensitivity pneumonitis, Farmer's lung, Bird
Interstitial Lung ... β€’ Idiopathic pulmonary ... Acute, Chronic β€’ Pulmonary ... #diagnosis #differential ... #pulmonary #causes
Batwing
A bilateral perihilar distribution of consolidation is also called a Batwing distribution.
The sparing of the periphery
periphery of the lung ... most typical of pulmonary ... #Diagnosis #Radiology ... #CXR #Batwing #Differential ... #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 Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... LIP #Clinical #Diagnosis ... Cystic #Cysts #Differential ... #Comparison #Table ... #RadiologyAssistant
ILD of Known Cause - Differential Diagnosis
Exposure:
 β€’ Occupational: Asbestosis, Silicosis, Hypersensitivity, Pneumonitis
 β€’ Treatment Related:
ILD of Known Cause ... - Differential ... Diagnosis Exposure ... #lung #disease ... #pulmonary
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... The table summarizes ... the pattern of distribution ... #Pulmonary #CXR ... #Table #RadiologyAssistant