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 on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... there are four patterns ... low attenuation (table ... Diagnosis #Radiology #Pulmonary
Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
Etiologies of pulmonary ... patterns. ... #Patterns #Pulmonary ... #Lung #Infections ... ComputedTomography #Differential
Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
Silicosis is a fibrotic ... lung disease caused ... Calcification (seen in CT ... typical eggshell pattern ... XRay #labeled #pulmonary
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
combinations of fibrosis ... listed in the table ... have specific patterns ... realise, that these patterns ... Diagnosis #Radiology #Pulmonary
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Miliary Pattern ... throughout the lungs ... PulmPEEPs #Miliary #Pattern ... #diagnosis #pulmonary ... CXR #clinical #CT
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
HRCT as seen in fibrosis ... or interstitial lung ... in ground glass pattern ... Diagnosis #Radiology #Pulmonary ... #GroundGlass #Differential
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... Other tests: β€’ CT ... sparing of the lung ... seen on chest CT ... β€’ IF staining patterns
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
like idiopathic pulmonary ... patients with a UIP pattern ... or NSIP pattern ... consider drug-related lung ... disease in the differential
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... interstitium by fluid, fibrous ... cells results in a pattern ... with interstitial lung ... diagnosis (Table
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... LCDD, SS Cyst pattern ... Disease #DCLD #pulmonary ... #Algorithm #Diagnosis ... #differential