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 CXR the most ... 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
In many cases a ... HRCT is needed to ... The HRCT - not shown ... Clinical #Radiology #CXR ... Interstitial #Pattern #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Clinical #Radiology #HRCT ... Nodular #Pattern #Comparison ... #Table #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Clinical #Radiology #HRCT ... Nodular #Pattern #Comparison ... #Table #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Clinical #Radiology #HRCT ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Clinical #Radiology #HRCT ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Clinical #Radiology #HRCT ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
Clinical #Radiology #HRCT ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
enlargement The table ... summarizes the causes ... Diagnosis #Radiology #CXR ... Unilateral #Bilateral #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
suspect UIP on the CXR ... A HRCT is needed ... Here a CXR with ... HRCT demonstrated ... #Honeycombing #RadiologyAssistant