Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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radiology diagnosis clinical cxr ctchest interstitial pulmonary consolidation differential lobar nodular acuteinterstitialpneumonia aip blastomyces blastomycosis centrilobular collapse comparison diffuse findings
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... low attenuation (table ... The cystic 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 - Multifocal ill-defined ... Nodule - Multiple Masses ... Consolidation #Patterns ... #RadiologyAssistant
Blastomycosis (Blastomyces): Gilchrist’s disease, Chicago disease - Summary Sheet • Morphology • Geography, Reservoir and Mode
- Sporadic cases ... reticulonodular patterns ... Radiographic pattern ... Absence of mediastinal ... disease - Mild
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 ... #Findings #RadiologyAssistant
Differential diagnosis The table summarizes the most common diseases, that present with consolidation. Chronic diseases are indicated in
diagnosis The table ... to look at the pattern ... more than one pattern ... lobar pneumonia caused ... #RadiologyAssistant
Sarcoidosis On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example). Parenchymal disease can present
with hilar and mediastinal ... consolidation or even as masses ... Here a typical case ... #Interstitial #Pattern ... #Sarcoidosis #RadiologyAssistant
Subacute hypersensitivity pneumonitis The key findings in the subacute hypersensitivity pneumonitis are: ill-defined centrilobular nodules of ground-glass opacity
pneumonitis are: ill-defined ... opacity (80% of cases ... ) or mosaic pattern ... There are ill-defined ... Centrilobular #RadiologyAssistant
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
The most common causes ... produces only mild ... Lobar #Collapse #Patterns ... #Comparison #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
tissue disease, all cases ... fine reticular pattern ... honeycombing in all three cases ... NonspecificInterstitialPneumonia #ILD ... #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
outcome in many cases ... The histologic pattern ... appearance like in the case ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant
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