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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Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... on a chest x-ray ... consolidation - Diffuse ... mass - Solitary Pulmonary ... Consolidation #Patterns
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
recognize the pattern ... of UIP on HRCT. ... Clinical #Radiology #CTChest ... UsualInterstitialPneumonitis #Usual #Interstitial ... #Pneumonitis #ILD
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... bronchovascular interstitium ... the nodules are diffuse ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
have specific patterns ... morphologic findings on HRCT ... Diagnosis #Radiology #Pulmonary ... #CTChest #Idiopathic ... IdiopathicInterstitialPneumonia #ILD
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
hypersensitivity pneumonitis; HRCT ... tomography; UIP = usual interstitial ... #pneumonitis #pulmonary ... #diagnosis #algorithm ... #HP #ILD
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... The histologic pattern ... are diffuse or ... Clinical #Radiology #CTChest ... AcuteInterstitialPneumonia #ILD
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
The HRCT shows diffuse ... and some mosaic pattern ... Clinical #Radiology #CTChest ... DesquamativeInterstitialPneumonia #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 ... first think RB-ILD ... Clinical #Radiology #CTChest ... RespiratoryBronchiolitis #ILD
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 ... #Algorithm #Diagnosis