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 ... seen and in many cases ... UIP can be suspected ... #Differential #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
UIP UIP is a histologic ... a chest X-ray UIP ... can suspect UIP ... Radiology #CXR #UIP ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
interstitial pattern ... preference at the lung bases ... The HRCT demonstrates ... Radiology #CXR #UIP ... TractionBronchiectasis #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Lung cysts (LAM, LIP ... on the basis of HRCT ... Differential #Diagram #Comparison ... Emphysema #SignetRing #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 ... findings of NSIP, UIP ... , OP and LIP have
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
represents the second reticular ... on HRCT. ... interstitial pneumonia (UIP ... #Honeycombing #UIP ... UsualInterstitialPneumonia #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... incidental finding in HRCT ... #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... In most cases small ... #NodularPattern ... Perilymphatic #Comparison ... #Diagram #RadiologyAssistant
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
a patient with DIP ... The HRCT shows diffuse ... and some mosaic pattern ... Reticular abnormalities ... Radiology #CTChest #DIP
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
interstitial pneumonia (AIP ... The histologic pattern ... findings in AIP ... the diagnosis AIP ... Radiology #CTChest #AIP