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 ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #SignetRing #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #Patterns #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 ... low attenuation (emphysema ... #Radiology #Pulmonary ... #HRCT #CTChest ... #ILD #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
with ground glass pattern ... are confluent, HRCT ... #Clinical #Radiology ... #CTChest #GGO # ... MosaicAttenuation
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
The HRCT shows diffuse ... lobes and some mosaic ... pattern as the ... #Radiology #CTChest ... #ILD #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... On a chest X-ray ... to confirm the diagnosis ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
centrilobular emphysema ... show very similar HRCT ... #Clinical #Diagnosis ... #Radiology #CTChest ... #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
The histologic pattern ... suggestive of the diagnosis ... #Clinical #Radiology ... #CTChest #AIP # ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... are paraseptal emphysema ... #Clinical #Radiology ... #CTChest #RBILD ... #RadiologyAssistant