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
Interstitial - ... Reticular interstitial ... Nodule - Multiple Masses ... Clinical #Radiology #CXR ... #Patterns #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
Consolidation is ... you think of the causes ... or tumor cells (Table ... the alveoli and cause ... #Differential #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... of the consolidation ... this is nodular interstitial ... Diagnosis #Radiology #CXR ... #Causes #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... On a CXR the most ... seen and in many cases ... UIP can be suspected ... #Differential #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
Notice the air-bronchogram ... include the list of causes ... of chronic consolidation ... Clinical #Radiology #CXR ... Lobar #Pneumonia #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Sarcoidosis On a CXR ... can present as consolidation ... or even as masses ... NodularInterstitial #Nodular #Interstitial ... #Sarcoidosis #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
maybe there is an air-bronchogram ... with multifocal consolidations ... multiple ill-defined masses ... Clinical #Radiology #CXR ... OrganizingPneumonia #BOOP #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
In most cases these ... In some cases however ... ill-defined densities is interstitial ... Diagnosis #Radiology #CXR ... #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 ... on the CXR. ... Here a CXR with ... #Interstitial # ... #Honeycombing #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... outcome in many cases ... diffuse or patchy consolidation ... There are areas of consolidation ... AcuteInterstitialPneumonia #ILD #RadiologyAssistant