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 ... Cystic LCH: - LAM ... LIP #Clinical #Diagnosis ... #Radiology #CTChest ... #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
(LAM, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... There is a lung cyst ... is a possible diagnosis ... obstruction of small airways ... #RadiologyAssistant
Differential diagnosis of Lymphangiomyomatosis:
Langerhans cell histiocytosis: > 90% are smokers, cysts have irregular shapes and the
Differential diagnosis ... 90% are smokers, cysts ... typical case of LAM ... Clinical #Radiology #CTChest ... #Cystic #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... The cystic pattern ... When the cysts have ... #RadiologyAssistant
Tree-in-bud almost always indicates the presence of:
Endobronchial spread of infection (TB, MAC, any bacterial bronchopneumonia)
Airway disease
with infection (cystic ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #TreeInBud #Differential ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... #Clinical #Diagnosis ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level.
The upper lobe is still attached to the chest wall
attached to the chest ... There is a lung cyst ... is a possible diagnosis ... obstruction of small airways ... #RadiologyAssistant
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
Breathing β€’ Check chest ... , 12-lead ECG, chest ... #Pressure #Differential ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Hypotension - Guidelines for Crises in Anaesthesia

Hypotension is commonly due to unnecessarily deep anaesthesia, the autonomic
β€’ Check airway ... Breathing β€’ Check chest ... #Hypotension #Differential ... Intraoperative #Checklist #Diagnosis ... #Management #Workup