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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The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
basis of HRCT findings ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Diagram ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
When the cysts have ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #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
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
have specific patterns ... of NSIP, UIP, OP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #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 ... #CTChest #Nodular ... #Pattern #NodularPattern
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
can heal and end up ... associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... to confirm the diagnosis ... #Clinical #Radiology ... #Interstitial # ... #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
The dominant findig ... caused by multiple cysts ... challenging differential diagnosis ... #Clinical #Radiology ... #CXR #CTChest #
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 ... low attenuation (emphysema ... there additional findings ... #Radiology #Pulmonary ... #HRCT #CTChest
Congestive heart failure (CHF) is the result of insufficient output because of cardiac failure, high resistance
fluid into the interstitium ... can be seen on a chest-film ... #Diagnosis #Radiology ... #Findings #Diagram ... #RadiologyAssistant