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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Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
in differential diagnosis ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #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 ... Consolidation #Patterns #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... The diagnosis based ... #Clinical #Radiology ... #CTChest #SeptalThickening ... #CHF #RadiologyAssistant
Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes
the differential diagnosis ... irregular and often nodular ... #Radiology #Pulmonary ... #CTChest #TreeInBud ... #Diagram #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... Comparison #Table #RadiologyAssistant
Vitreous Hemorrhage on Ocular POCUS

Binocular vision loss - think cortical blindness, opt for CT/MRI
Monocular vision loss
Hemorrhage on Ocular ... hemorrhage/detachment diagnosis ... Vitreous #Hemorrhage #Ocular ... #POCUS #clinical ... #ultrasound #Ophthalmology
β–Ί
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... central dot. - LIP #Clinical ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
Clinical Manifestations of Serotonin Syndrome
 β€’ Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 β€’ Gastrointestinal: Diarrhea,
Clinical Manifestations ... of Serotonin Syndrome ... β€’ Ophthalmologic ... : Mydriasis, Ocular ... spectrum #signs #diagnosis
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... Differential #Algorithm #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
chronic illness, clinical ... between these chest ... in fact this is nodular ... #Clinical #Diagnosis ... Consolidation #Causes #RadiologyAssistant