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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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
four patterns: ... common pattern ... pattern on a CXR ... UIP can be suspected ... #Differential #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
UIP UIP is a histologic ... pattern of pulmonary ... a reticular pattern ... This pattern was ... #UIP #Reticular
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
pattern with a ... The HRCT demonstrates ... #UIP #CTChest # ... #Pattern #Honeycombing ... TractionBronchiectasis #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Lung cysts (LAM, LIP ... low attenuation pattern ... on the basis of HRCT ... Differential #Diagram #Comparison
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
pattern or a cystic ... pattern. ... pattern. ... a HRCT will give ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
pattern recognizable ... on HRCT. ... low attenuation pattern ... interstitial pneumonia (UIP ... #Honeycombing #UIP
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... fine or coarse reticular ... Atelectasis - collapse ... Consolidation #Patterns ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... have specific patterns ... realise, that these patterns ... findings of NSIP, UIP ... , OP and LIP have
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
a patient with DIP ... The HRCT shows diffuse ... and some mosaic pattern ... Reticular abnormalities ... Radiology #CTChest #DIP
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
atelectasis or lobar collaps ... The most common causes ... Diagnosis #Radiology #CXR ... #Patterns #Comparison ... #RadiologyAssistant