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
about imaging findings ... : reticular, nodular ... low attenuation (table ... UIP can be suspected ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... - Multiple Masses ... Clinical #Radiology #CXR ... Consolidation #Patterns ... #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
x-ray shows subtle findings ... nature of the findings ... Clinical #Radiology #CXR ... #Interstitial # ... Pattern #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... have specific patterns ... of NSIP, UIP, OP ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
on the CXR. ... Here a CXR with ... Clinical #Radiology #CXR ... #Interstitial # ... #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
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Sarcoidosis On a CXR ... Clinical #Radiology #CXR ... #Interstitial # ... Pattern #Sarcoidosis ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
pattern. ... In most cases small ... peribronchovascular interstitium ... Perilymphatic #Comparison ... #Diagram #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
non-pulmonary findings ... in fact this is nodular ... interstitial lung ... Diagnosis #Radiology #CXR ... #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... a predominant finding ... differential diagnosis (Table ... Nodular or irregular ... #Differential #RadiologyAssistant