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
in interstitial lung ... : reticular, nodular ... low attenuation (table ... seen and in many cases ... #Differential #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 ... In many cases a ... Clinical #Radiology #CXR ... #Interstitial #Pattern ... #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
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 ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
pattern. ... In most cases small ... structures of the lung ... #Pattern #Distribution ... Comparison #Diagram #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 #CXR ... #Interstitial #Pattern ... #Sarcoidosis #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
particularly at the lung ... In many cases you ... Here a CXR with ... at the lung bases ... #Honeycombing #RadiologyAssistant
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the chest the lung ... This causes a density ... It is a normal finding ... Clinical #Radiology #CXR ... Cardiac #Incisura #RadiologyAssistant
Wegener's granulomatosis
Wegener's is a collagen vascular disease with vasculitis involving the lung, kidney and sinuses.
In the
vasculitis causes ... or masses, sometimes ... with non-specific findings ... Clinical #Radiology #CXR ... #RadiologyAssistant
Subacute hypersensitivity pneumonitis
The key findings in the subacute hypersensitivity pneumonitis are:
ill-defined centrilobular nodules of ground-glass opacity
pneumonitis The key findings ... opacity (80% of cases ... ) or mosaic pattern ... opacity due to lung ... Centrilobular #RadiologyAssistant