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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Here are the most common examples of these four patterns on a chest x-ray (click image
Reticular interstitial ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #Patterns #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
#Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison ... #SignetRing #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Pattern #Differential
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... fibrosis. ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
in ground glass pattern ... predominance: UIP ... #Radiology #Pulmonary ... #CTChest #GGO # ... #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 ... #Algorithm #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
by fluid, fibrous ... cells results in a pattern ... #Diagnosis #Radiology ... #CTChest #Reticular ... #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 ... : reticular nodular ... low attenuation (emphysema ... #Radiology #Pulmonary ... #HRCT #CTChest
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
or an area of consolidation ... without associated pulmonary ... with end-stage fibrosis ... #Clinical #Diagnosis ... #Radiology #CTChest
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
like idiopathic pulmonary ... interstitial pneumonitis ... patients with a UIP ... #Clinical #Radiology ... #RadiologyAssistant