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
four patterns: ... low attenuation (table ... common pattern ... seen and in many cases ... #Differential #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... the area next to pleura ... CTChest #Nodular #Pattern ... #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... adenopathy and pleural ... LowAttenuation #Cystic #Pattern ... #Comparison #Table ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... Radiology #Pulmonary #HRCT ... NodularPattern #Nodular #Pattern ... #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
In many cases a ... HRCT is needed to ... Clinical #Radiology #CXR ... #Interstitial #Pattern ... #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
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... Nodule - Multiple Masses ... Clinical #Radiology #CXR ... Consolidation #Patterns ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
reticular interstitial pattern ... preference at the lung bases ... The HRCT demonstrates ... #Interstitial #Pattern ... TractionBronchiectasis #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... in the nodular pattern ... In most cases small ... NodularPattern #Nodular #Pattern ... Comparison #Diagram #RadiologyAssistant
Pleural opacities
The table lists the most common causes of pleural opacities #Diagnosis #Radiology #Pulmonary #CXR #Pleural
The table lists ... the most common causes ... Radiology #Pulmonary #CXR ... #Differential #Causes ... #RadiologyAssistant