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
: 'signet ring sign ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #Table ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #Patterns #RadiologyAssistant
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
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
Consolidation is ... or tumor cells (Table ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
Look for other signs ... have an acute cardiac ... , may have non-cardiac ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
between these chest ... Pulmonary hemorrhage ... #Clinical #Diagnosis ... #Radiology #CXR ... #Causes #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
small pleural effusions ... carcinoma, the diagnosis ... #Clinical #Radiology ... #CTChest #COP # ... Pneumonia #ILD #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
or an area of consolidation ... associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... Emphysema #Comparison #RadiologyAssistant
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
infarction In pulmonar ... this case a lung cyst ... The pulmonary embolus ... #Clinical #Radiology ... PulmonaryEmbolism #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... feeding vessel sign ... which are probably consolidations ... #Clinical #Radiology ... SepticEmboli #Cavity #RadiologyAssistant