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. ... 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 fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Lung cysts (LAM, LIP ... basis of HRCT findings ... 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 ... of NSIP, UIP, OP ... and LIP have been ... #Findings #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
demonstrates a reticular ... interstitial pattern ... preference at the lung bases ... Radiology #CXR #UIP ... TractionBronchiectasis #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
a patient with UIP ... densities caused ... preference also think 'UIP ... #CXR #CTChest #UIP ... #ILD #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
the spectrum of findings ... pattern. ... , excluding UIP ... NonspecificInterstitialPneumonia #ILD ... #RadiologyAssistant
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
a patient with DIP ... and some mosaic pattern ... Reticular abnormalities ... Radiology #CTChest #DIP ... #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... edema: incidental finding ... HRCT #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... Chronic stage: - UIP ... - UIP has a strong ... Radiology #CTChest #UIP ... #RadiologyAssistant