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 ctchest clinical diagnosis cxr hrct pulmonary cystic consolidation differential interstitial langerhanscellhistiocytosis lobar lowattenuation nodular diffuse findings histiocytosis idiopathic idiopathicinterstitialpneumonia
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
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... LCH: multiple round ... LowAttenuation #Cystic #Pattern ... #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... histiocytosis (LCH ... LowAttenuation #Cystic #Pattern ... #Comparison #Table ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... Interstitial - Reticular ... Nodule - Multiple Masses ... Consolidation #Patterns ... #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 ... CTChest #Nodular #Pattern ... #Comparison #Table ... #RadiologyAssistant
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
pattern or a cystic ... pattern. ... pattern. ... In many of such cases ... #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... fine or coarse reticular ... Atelectasis - collapse ... Consolidation #Patterns ... #RadiologyAssistant
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
with a nodular pattern ... bronchiolitis: ill ... CTChest #Nodular #Pattern ... #Differential #Comparison ... #Table #RadiologyAssistant
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
atelectasis or lobar collaps ... The most common causes ... produces only mild ... #Patterns #Comparison ... #RadiologyAssistant
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... HRCT #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
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