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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Lung Nodules - Differential Diagnosis by Distribution
 β€’ Centrilobular: Hypersensitivity Pneumonitis, RB-ILD, Pneumoconiosis, Infectious Bronchiolitis, Vasculitis,
Lung Nodules - Differential ... Pneumonitis, RB-ILD ... Bronchiolitis, Vasculitis, Diffuse ... BrighamChiefs #Lung ... #Distribution #pulmonary
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... - Aspiration - Pulmonary ... #HRCT #ChestCT ... #Differential #Table
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
transbronchial lung ... hypersensitivity pneumonitis; HRCT ... #pneumonitis #pulmonary ... #diagnosis #algorithm ... #HP #ILD
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... the nodules are diffuse ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... MultipleNodules #Nodules #Differential
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... LCDD, SS Cyst pattern ... presentations - ILD ... Disease #DCLD #pulmonary ... #differential
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
have specific patterns ... morphologic findings on HRCT ... realise, that these patterns ... Diagnosis #Radiology #Pulmonary ... IdiopathicInterstitialPneumonia #ILD
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Disease - Differential ... Diagnosis Algorithm ... leaking out of pulmonary ... #Diseases #ILD ... #Causes #Differential
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... the dominant HR-pattern ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
rare idiopathic lung ... The histologic pattern ... aswell as the HRCT ... are diffuse or ... AcuteInterstitialPneumonia #ILD
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
smoker with RB-ILD ... The dominant pattern ... there is a broad differential ... first think RB-ILD ... RespiratoryBronchiolitis #ILD