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
low attenuation (table ... histiocytosis or honeycombing ... on a CXR. ... seen and in many cases ... #Differential #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
In many cases you ... Here a CXR with ... #Clinical #Radiology ... #Honeycombing # ... RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... preference at the lung bases ... #Clinical #Radiology ... #Honeycombing # ... TractionBronchiectasis #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... Nodule - Multiple Masses ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
In many cases a ... #Clinical #Radiology ... #CXR #Sarcoidosis ... #Interstitial #Pattern ... #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Sarcoidosis On a CXR ... consolidation or even as masses ... #Clinical #Radiology ... #Interstitial #Pattern ... #Sarcoidosis #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
The CXR is of a ... On the CXR it is ... In many of such cases ... #Clinical #Radiology ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
20-40% of the cases ... the ground-glass pattern ... In those cases there ... On the left two cases ... #Clinical #Radiology
In the images on your left you can appreciate again the spectrum of findings seen in
tissue disease, all cases ... fine reticular pattern ... Notice the lack of honeycombing ... in all three cases ... #Clinical #Radiology