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
on a chest x-ray ... consolidation - Diffuse ... Nodule - Multiple Masses ... Clinical #Radiology #CXR ... #RadiologyAssistant
Pulmonary Tuberculosis - Patterns of Involvement
 β€’ Scarring, Nodules and Consolidation
    - Lobar
Tuberculosis - Patterns ... Innumerable, bilateral, diffusely ... - Loculated effusion ... #chest #xray #clinical ... #radiology #CXR
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... the nodules are diffuse ... Pulmonary #HRCT #CTChest ... #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 ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... Differential #Table #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... bilateral in 70% of cases ... If pleural effusion ... Clinical #Radiology #CXR ... #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 ... additional findings (pleural ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... is a reticular patern ... was caused by multiple ... Clinical #Radiology #CXR ... Histiocytosis #Cystic #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
characterized by diffuse ... The histologic pattern ... Clinical #Radiology #CTChest ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
The most common causes ... produces only mild ... Diagnosis #Radiology #CXR ... Lobar #Collapse #Patterns ... #Comparison #RadiologyAssistant
Key findings in Lymphangiomyomatosis:
Numerous thin-walled cysts, surrounded by normal parenchyma.
Cysts range from 2mm to 5cm in
are distributed diffusely ... adenopathy and pleural ... effusions (40%) ... Clinical #Radiology #CTChest ... #LAM #Cystic #RadiologyAssistant