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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Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Cysts #Differential ... #Comparison #Table
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... bizarre shaped cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
Liver Mass Differential Diagnosis
Solid:
 β€’ Benign: Hepatic Hemangioma, Focal nodular hyperplasia, Hepatocellular adenoma, Regenerative nodules
 β€’
Liver Mass Differential ... disease, Biliary cysts ... Cystadenocarcinoma, Primary SCC Infectious ... #Liver #Mass #Differential ... Diagnosis #hepatology #Radiology
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
(LAM): regular cysts ... #Clinical #Radiology ... #HRCT #CTChest ... LowAttenuation #Cystic ... Pattern #Comparison #Table
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 ... bronchiolitis in infection ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... The cystic pattern ... When the cysts have ... #Diagnosis #Radiology
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Emphysema - Lung cysts ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... TractionBronchiectasis #Cysts
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Radiology β€’ Miliary ... inhalational injury Differential ... Opacities: β€’ Infectious ... Nocardia, zoonotic infections ... #Radiology #differential
Bone Tumor Location within the Skeleton

Epiphysis: 
Only a few lesions are located in the epiphysis, so
chondroblastoma or an infection ... subchondral bone cyst ... Enchondroma and infections ... Diaphysis #Epiphysis #Radiology ... #MSK #Differential
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... To differentiate ... them from cysts ... Clinical #Diagnosis #Radiology ... #CTChest #Cavity