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
low attenuation (table ... is reticular. ... pattern on a CXR ... seen and in many cases ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... Interstitial - Reticular ... Nodule - Multiple Masses ... Clinical #Radiology #CXR ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... Radiology #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... pattern with a ... preference at the lung bases ... #UIP #CTChest # ... TractionBronchiectasis #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 ... manifests as a reticular ... Here a CXR with ... a reticular pattern ... #Honeycombing #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
pattern. ... pattern. ... In many of such cases ... #CTChest #Cystic ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Radiology #Pulmonary #CTChest ... #Nodular #Pattern ... #Differential #Comparison ... #Table #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
honeycombing comprises reticular ... densities caused ... Clinical #Radiology #CXR ... #Pneumonitis #Reticular ... #ILD #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 ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Radiology #HRCT #CTChest ... #Reticular #Pattern ... #Comparison #Table ... #RadiologyAssistant