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 Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... #Clinical #Radiology ... #Pulmonary #CTChest ... #Comparison #Table ... #RadiologyAssistant
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
Progressing to diffuse alveolar ... structures help in the differential ... oedema due to heart ... #Clinical #Radiology ... #CXR #ChestXRay
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
, to differentiate ... infection, ARDS ... #CXR #Diffuse # ... Consolidation #Differential ... #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
Is it pus, edema ... or tumor cells (Table ... #CTChest #Consolidation ... #Differential # ... RadiologyAssistant
On the left a patient with ARDS. 
There is alveolar edema in both lungs. 
Notice that
a patient with ARDS ... There is alveolar ... #Clinical #Radiology ... #CXR #ARDS #Alveolar ... #Edema #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
spaces with pus, edema ... Diagnosis #Radiology #Pulmonary ... #CTChest #GGO # ... #GroundGlass #Differential ... #RadiologyAssistant
Crazy Paving is a combination of ground glass opacity with superimposed septal thickening (5).
It was first
Bronchoalveolarca (BAC) - Pulmonary ... hemorrhage - Edema ... heart failure, ARDS ... , AIP) #Clinical ... #Radiology #CTChest
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Age-Adjusted Gradient β€’ Alveolar ... : Atelectasis, ARDS ... Edema, Atelectasis ... #AA #Gradient #alveolar ... Hypoxia #hypoxemia #differential
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Definition: Diffuse alveolar ... Hemoptysis, Peripheral edema ... symptomatology Differential ... , anti-CCP β€’ CXR ... high resolution chest
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
edema at admission ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema ... AlveolarEdema #RadiologyAssistant