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
there are four patterns ... low attenuation (table ... The cystic pattern ... seen and in many cases ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... on a chest x-ray ... Nodule - Multiple Masses ... Consolidation #Patterns ... #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
Sarcoidosis In this case ... the chest x-ray ... In many cases a ... #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 ... realise, that these patterns ... Radiology #Pulmonary #CTChest
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... as a reticular pattern ... In many cases you ... with a reticular pattern ... This pattern was
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
with a reticular pattern ... or a cystic pattern ... or a reticular pattern ... In many of such cases ... Radiology #CXR #CTChest
Subacute hypersensitivity pneumonitis
The key findings in the subacute hypersensitivity pneumonitis are:
ill-defined centrilobular nodules of ground-glass opacity
opacity (80% of cases ... ) or mosaic pattern ... Clinical #Radiology #CTChest ... Centrilobular #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 #CTChest
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
important finding on a chest ... The most common causes ... Lobar #Collapse #Patterns ... #Comparison #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
tissue disease, all cases ... fine reticular pattern ... honeycombing in all three cases ... Clinical #Radiology #CTChest ... NonspecificInterstitialPneumonia #ILD #RadiologyAssistant