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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Chest XRay Consolidation Pattern - Differential Algorithm #Diagnosis #Radiology #Pulmonary #CXR #Consolidation #Pattern #Differential #Algorithm #RadiologyAssistant
Pattern - Differential ... Algorithm #Diagnosis ... #Radiology #Pulmonary ... #Pattern #Differential ... #Algorithm #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Atelectasis #Diagnosis ... #Clinical #Radiology ... #Patterns #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... seen and in many cases ... #Diagnosis #Radiology ... #Pulmonary #CXR ... RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... lobar pneumonia caused ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Table #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
or an area of consolidation ... diagnosis there ... associated pulmonary ... #Clinical #Diagnosis ... Emphysema #Comparison #RadiologyAssistant
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 ... (ground-glass, consolidation ... #Radiology #Pulmonary ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... A HRCT is needed ... to confirm the diagnosis ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... NodularPattern #Differential ... Comparison #Table #RadiologyAssistant