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
On HRCT there are ... low attenuation (table ... On a Chest X-Ray ... seen and in many cases ... #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Non specific interstitial ... Clinical #Radiology #HRCT ... #CTChest #HighAttenuation ... #Table #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
the chest x-ray ... In many cases a ... HRCT is needed to ... Sarcoidosis #Nodular #Interstitial ... #Pattern #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
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
pattern with a ... preference at the lung bases ... The HRCT demonstrates ... Radiology #CXR #UIP #CTChest ... TractionBronchiectasis #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... bronchovascular interstitium ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... morphologic findings on HRCT ... Radiology #Pulmonary #CTChest ... ILD #Findings #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... In many cases you ... A HRCT is needed ... UIP #Reticular #Interstitial ... #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... differential diagnosis (Table ... Radiology #Pulmonary #HRCT ... #CTChest #Reticular ... #Differential #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
In many of such cases ... a HRCT will give ... Radiology #CXR #CTChest ... #Cystic #Interstitial ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant