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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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
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... findings. ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... based on the x-ray findings ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
on HRCT and histology ... of NSIP, UIP, OP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #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 ... #CTChest #NodularPattern ... #RadiologyAssistant
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
highly significant finding ... the ground-glass pattern ... #Clinical #Radiology ... #CTChest #GroundGlass ... #GGO #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 ... #Pulmonary #HRCT ... #CTChest #Reticular ... #SeptalThickening
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
In the images on your left you can appreciate again the spectrum of findings seen in
the spectrum of findings ... seen in NSIP. ... fine reticular pattern ... #CTChest #NSIP ... NonspecificInterstitialPneumonia #ILD #RadiologyAssistant
On the left a patient with both septal thickening and ground glass opacity in a patchy
combination of findings ... interstitial pneumonia (NSIP ... distress syndrome and pulmonary ... #CTChest #SeptalThickening ... #Proteinosis #RadiologyAssistant