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
nodular, high and low ... attenuation (table ... common 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 ... Consolidation - Lobar ... Nodule - Multiple Masses ... Consolidation #Patterns ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
to look at the pattern ... more than one pattern ... pneumonia caused ... Radiology #Pulmonary #CXR ... #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
Sarcoidosis In this case ... In many cases a ... Clinical #Radiology #CXR ... #Interstitial #Pattern ... #RadiologyAssistant
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
Lobar atelectasis ... The most common causes ... Diagnosis #Radiology #CXR ... #Patterns #Comparison ... #RadiologyAssistant
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 ... a reticular pattern ... This pattern was
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... Lobar pneumonia ... of breath with low ... Diagnosis #Radiology #CXR ... #Causes #RadiologyAssistant
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 ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Differential Diagnosis Algorithm ... are present β€’ Classic ... involvement, irregular pattern ... B-Cell ~90% β€’ Low ... Lymphoproliferative #Disorders #Classification
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 #CXR ... #Interstitial #Pattern ... #Sarcoidosis #RadiologyAssistant