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
Consolidation - Lobar ... consolidation - Diffuse ... Interstitial - Reticular ... Clinical #Radiology #CXR ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On HRCT there are ... reticular, nodular ... pattern on a CXR ... seen and in many cases ... #Differential #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
substances resulting in lobar ... , diffuse or multifocal ... fine or coarse reticular ... Atelectasis - collapse ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... pattern with a ... preference at the lung bases ... The HRCT demonstrates ... TractionBronchiectasis #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
A HRCT is needed ... Here a CXR with ... a reticular pattern ... HRCT demonstrated ... #Honeycombing #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
to look at the pattern ... more than one pattern ... pneumonia caused ... Radiology #Pulmonary #CXR ... Differential #Table #RadiologyAssistant
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
or lobar collaps ... The most common causes ... #Lobar #Collapse ... #Patterns #Comparison ... #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
pattern. ... pattern. ... In many of such cases ... a HRCT will give ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
The HRCT shows diffuse ... and some mosaic pattern ... Reticular abnormalities ... DesquamativeInterstitialPneumonia #ILD ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... the dominant HR-pattern ... : reticular nodular ... Interpretation #Algorithm ... #ILD #RadiologyAssistant