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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ctchest diagnosis comparison pattern pulmonary interstitial reticular uip cyst honeycombing lowattenuation cavity cysts distribution emphysema fibrosis ild infarct lam langerhanscellhistiocytosis
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... low attenuation (table ... #Diagnosis #Radiology ... #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
Differential diagnosis of Langerhans cell histiocytosis. Nodular LCH: - Sarcoidosis: perilymphatic distribution. - Metastases: random distribution. Cystic LCH: - LAM: round
central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #Cysts #Differential ... #Comparison #Table ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
cysts (LAM, LIP ... on the basis of HRCT ... #Diagnosis #Radiology ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
Upper lung zone ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
There is a hydropneumothorax. Notice the air-fluid level (blue arrow). The upper lobe is still attached to the
cyst in the upper ... leading to pulmonary cyst ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #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 ... Pattern #Comparison #Table ... #RadiologyAssistant
Cystic lung disease Lung cysts are defined as radiolucent areas with a wall thickness of less than
Cystic lung disease ... Lung cysts are ... Cystic lung diseases ... listed in the table ... #Differential #
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
The CXR is of a ... On the CXR it is ... of such cases a HRCT ... #Clinical #Radiology ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
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