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
bronchiolitis (RB-ILD ... Pulmonary edema #Diagnosis ... #Radiology #Pulmonary ... HRCT #ChestCT #Differential ... #Table #Distribution
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #Table ... #RadiologyAssistant
Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
enlargement The table ... branching vessels #Diagnosis ... #Radiology #CXR ... #Enlargement #Differential ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis: ill ... #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 #Nodular ... #Comparison #Table ... #RadiologyAssistant
On the left a patient with rheumatoid arthritis and bilateral peripheral consolidations as a result of
arthritis and bilateral ... #Clinical #Radiology ... #CTChest #COP # ... RheumatoidArthritis #ILD ... #RadiologyAssistant
On the left a patient who complained of arthritic pain.

There are multiple small bilateral peripheral consolidations.
The
multiple small bilateral ... #Clinical #Radiology ... #CTChest #COP # ... Organizing #Pneumonia #ILD ... #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
or tumor cells (Table ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Consolidation #Differential ... #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... in the proper clinical ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... consolidation - Multifocal ill-defined ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant