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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Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
or interstitial lung ... bronchiolitis #Diagnosis ... Radiology #Pulmonary #CTChest ... #GroundGlass #Differential ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
#Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... Radiology #Pulmonary #CTChest ... Carcinomatosis #Mimic #Differential ... #Comparison #Table ... #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
UIP, NSIP and long ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Consolidation #Differential ... #RadiologyAssistant
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Embolism, Obstructive Lung ... , Interstitial Lung ... #AA #Gradient #alveolar ... Hypoxia #hypoxemia #differential ... #diagnosis
Diagnosis and Management of Diffuse Alveolar Hemorrhage (DAH)
Blood escaping through the capillary wall into the alveoli,
Diagnosis and Management ... β€’ DAH triad: lung ... hemoptysis, anemia β€’ Chest ... infiltrates, no pleural effusion ... Management #Pulmonary #Differential
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
be high in the differential ... diagnostic list ... presentation of alveolar ... Clinical #Radiology #CTChest ... #CHF #KerleyB #
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
diagnosis there ... the surrounding lung ... #Radiology #CTChest ... Cyst #Emphysema #Comparison ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... centrilobular emphysema. - Alveolar ... throughout the whole lung ... #Radiology #CTChest ... #UIP #Comparison
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
coagulopathy) β€’ CBC w differential ... LVEF, pericardial effusion ... leading to diffuse alveolar ... sparing of the lung ... Renal #Syndromes #differential