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 ... Interstitial - Reticular ... Clinical #Radiology #CXR ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On a Chest X-Ray ... is reticular. ... pattern on a CXR ... seen and in many cases ... #Differential #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
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 ... #UIP #CTChest # ... TractionBronchiectasis #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... manifests as a reticular ... Here a CXR with ... a reticular pattern ... #Honeycombing #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 ... #CTChest #Cystic ... LangerhansCellHistiocytosis #LCH #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 ... : reticular nodular ... 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 is a reticular ... was caused by multiple ... Clinical #Radiology #CXR ... #CTChest #LCH # ... Histiocytosis #Cystic #RadiologyAssistant