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
On a Chest X-Ray ... detected on a chest ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... fibrosis. ... On a chest X-ray ... a reticular pattern ... #Clinical #Radiology
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
interstitial pattern ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Reticular #Interstitial ... #Pattern #Honeycombing
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 ... - Reticular interstitial ... #Clinical #Radiology ... Consolidation #Patterns
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... lung disease (i.e ... in ground glass pattern ... #Radiology #Pulmonary ... #CTChest #GGO #
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 ... #Nodular #Pattern
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
combinations of fibrosis ... have specific patterns ... realise, that these patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... Kerley B lines on chest ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
represents the second reticular ... pattern recognizable ... on HRCT. ... low attenuation pattern ... #Clinical #Radiology
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
patients with a UIP ... pattern or NSIP ... pattern seen in ... #Clinical #Radiology ... #RadiologyAssistant