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 opacities ... Nodule or mass ... - Multiple Masses ... Clinical #Radiology #CXR ... Consolidation #Patterns #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 ... nature of the findings ... Clinical #Radiology #CXR ... #Interstitial # ... Pattern #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... patterns: reticular, nodular ... low attenuation (table ... seen and in many cases ... #Differential #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
The idiopathic interstitial ... indicates unknown cause ... and interstitial ... listed in the table ... #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Sarcoidosis On a CXR ... Here a typical case ... Clinical #Radiology #CXR ... #Interstitial # ... #Sarcoidosis #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
non-pulmonary findings ... in fact this is nodular ... interstitial lung ... Diagnosis #Radiology #CXR ... #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung interstitium ... a predominant finding ... differential diagnosis (Table ... Nodular or irregular ... #Differential #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
The findings on ... reticular densities caused ... Clinical #Radiology #CXR ... UsualInterstitialPneumonitis #Usual #Interstitial ... Reticular #ILD #RadiologyAssistant
Wegener's granulomatosis
Wegener's is a collagen vascular disease with vasculitis involving the lung, kidney and sinuses.
In the
the vasculitis causes ... seen as multiple nodules ... with non-specific findings ... Clinical #Radiology #CXR ... #RadiologyAssistant
Key findings in alveolar proteinosis
- Crazy paving pattern: reticular pattern superimposed on ground glass opacification.
- Opacifications
Key findings in ... interlobular and intra-lobular ... This is caused by ... transported to the interstitium ... #CrazyPaving #RadiologyAssistant