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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Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
The table lists ... the differential ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #RadiologyAssistant
Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
enlargement The table ... vessels #Diagnosis #Radiology ... #CXR #HilarEnlargement ... #Enlargement #Differential ... Unilateral #Bilateral #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #Comparison #Table ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
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or air-filled lesions ... #Diagnosis #Radiology ... LowAttenuation #Differential ... #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
#Clinical #Radiology ... Nodular #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
#Clinical #Radiology ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
#Clinical #Radiology ... Nodular #Pattern #Comparison ... #Table #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
#Clinical #Radiology ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
#Clinical #Radiology ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
consolidation #Clinical ... #Radiology #HRCT ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant