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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comparison diagnosis pattern pulmonary cxr langerhanscellhistiocytosis lch histiocytosis ild interstitial hypersensitivitypneumonitis lowattenuation mimic pneumonitis uip algorithm chronic cysts emphysema fibrosis
Differential diagnosis of Langerhans cell histiocytosis. Nodular LCH: - Sarcoidosis: perilymphatic distribution. - Metastases: random distribution. Cystic LCH: - LAM: round
Nodular LCH: - Sarcoidosis ... #CTChest #Cystic ... #Cysts #Differential ... #Comparison #Table ... #RadiologyAssistant
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
(LAM): regular cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
Perilymphatic distribution Perilymphatic nodules are most commonly seen in sarcoidosis. They also occur in silicosis, coal-worker's pneumoconiosis and
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential ... #RadiologyAssistant
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... patterns: reticular, nodular ... low attenuation (table ... #Diagnosis #Radiology ... #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
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Differential # ... Algorithm #RadiologyAssistant
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