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
-
Lung cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Diagram ... #SignetRing #RadiologyAssistant
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
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular ... Pattern #Honeycombing
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
histiocytosis or honeycombing ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
the second reticular ... feature of usual interstitial ... #Clinical #Radiology ... #CTChest #Honeycombing ... #RadiologyAssistant
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 ... #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
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
In the images on your left you can appreciate again the spectrum of findings seen in
pattern. ... cases, excluding UIP ... as diagnosis. ... #Clinical #Radiology ... #CTChest #NSIP
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
like idiopathic pulmonary ... and non-specific interstitial ... patients with a UIP ... #Clinical #Radiology ... #CTChest #DrugInduced