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 pattern diagnosis pulmonary differential hrct interstitial lam lateral pericardial langerhanscellhistiocytosis lch lowattenuation lymphangioleiomyomatosis nodular pericardialeffusion pleural pneumothorax alveolar alveolaredema
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural effusion ... #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 ... #CTChest #Cystic ... #Comparison #Table ... #RadiologyAssistant
On the left another patient with a large cardiac silhouette on the chest x-ray due to
silhouette on the chest ... CT-reconstruction #Clinical ... #Radiology #CXR ... #CTChest #Cardiomegaly ... PericardialEffusion #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 on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... The cystic pattern ... When the cysts have ... #Diagnosis #Radiology ... #Differential #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
Mucoid impaction Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass. Sometimes
bronchiectasis, as in cystic ... fibrosis (CF) and ... #Clinical #Radiology ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. A subpulmonic effusion
Pleural effusion ... with signs of CHF ... #Clinical #Radiology ... #CXR #CHF #Pleural ... SubpulmonicEffusion #RadiologyAssistant
Cardiac incisura Click image to enlarge. On the right side of the chest the lung will lie against
right side of the chest ... pericardial fat or effusion ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura #RadiologyAssistant
There is a hydropneumothorax. Notice the air-fluid level (blue arrow). The upper lobe is still attached to the
attached to the chest ... There is a lung cyst ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
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