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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Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
masses is very long ... listed in the table ... multifocal consolidations ... Management #Radiology #Lung ... #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
Consolidation is ... or tumor cells (Table ... UIP, NSIP and long ... #Differential # ... RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... emphysema: no walls, central ... dot. - LIP #Clinical ... #Comparison #Table ... #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
densities in both lungs ... with multifocal consolidations ... dealing with the differential ... #Clinical #Radiology ... OrganizingPneumonia #BOOP #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
or an area of consolidation ... In the differential ... the surrounding lung ... #Clinical #Diagnosis ... Emphysema #Comparison #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... thickening of the central ... #Clinical #Radiology ... #Comparison #Table ... #RadiologyAssistant
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenia Gravis Evaluation ... Chest X-ray and lung ... (exclude other lung ... Phos), CBC with differential ... - Infectious workup
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
dependent part of the lungs ... be high in the differential ... a precursor of consolidation ... #Clinical #Radiology ... IntersitialEdema #Septal #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... throughout the whole lung ... periphery towards the centrum ... #Clinical #Diagnosis ... Fibrosis #Mimic #ILD #RadiologyAssistant