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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High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Non specific interstitial ... pneumonitis (NSIP ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... predominance: UIP, NSIP ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... on HRCT and histology ... of NSIP, UIP, OP ... #Pulmonary #CTChest ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... findings. ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
edema: incidental finding ... peribronchovascular interstitium ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... bronchovascular interstitium ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... a predominant finding ... differential diagnosis (Table ... #Pulmonary #HRCT ... #CTChest #Reticular
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 ... there additional findings ... #Pulmonary #HRCT ... #Algorithm #ILD ... #RadiologyAssistant
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
The radiographic findings ... like idiopathic pulmonary ... and non-specific interstitial ... or NSIP pattern ... #CTChest #DrugInduced