Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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radiology diagnosis clinical pulmonary comparison cystic nodular lowattenuation cxr interstitial nodularpattern chestct diagram distribution emphysema findings honeycombing idiopathic idiopathicinterstitialpneumonia interpretation
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Langerhans cell histiocytosis ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... #Comparison #Table ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
Langerhans cell histiocytosis ... on the basis of HRCT ... Radiology #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Langerhans cell histiocytosis ... before the typical cysts ... Clinical #Radiology #HRCT ... #CTChest #Nodular ... #Table #RadiologyAssistant
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... When the cysts have ... Langerhans cell histiocytosis ... RadiologyAssistant
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... #Comparison #Table ... #RadiologyAssistant
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
bronchiolitis (RB-ILD ... Langerhans cell histiocytosis ... Radiology #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
Langerhans cell histiocytosis ... before the typical cysts ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... Clinical #Radiology #HRCT ... #CTChest #Nodular ... #Table #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis. Nodular LCH: - Sarcoidosis: perilymphatic distribution. - Metastases: random distribution. Cystic LCH: - LAM: round
Differential diagnosis ... Langerhans cell histiocytosis ... Diagnosis #Radiology #CTChest ... #Cystic #Cysts ... #Table #RadiologyAssistant
Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look
pattern The algorithm ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant
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