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
in interstitial lung ... low attenuation (table ... common pattern ... 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
pattern of pulmonary ... fibrosis. ... as a reticular pattern ... at the lung bases ... This pattern was
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... combinations of fibrosis ... listed in the table ... have specific patterns ... realise, that these patterns
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... Atelectasis - collapse ... Diagnosis #Radiology #CXR ... Consolidation #Patterns ... #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
you think of the causes ... or tumor cells (Table ... Even fibrosis as ... long standing sarcoidosis ... #Differential #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
reticular interstitial pattern ... preference at the lung ... bases. ... #Interstitial #Pattern ... TractionBronchiectasis #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
HRCT as seen in fibrosis ... or interstitial lung ... disease (i.e. fibrosis ... in ground glass pattern ... #Differential #RadiologyAssistant
Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
Progressive Massive Fibrosis ... Silicosis is a fibrotic ... lung disease caused ... typical eggshell pattern ... clinical #radiology #CXR
On the left a patient with GGO as dominant pattern.
In addition there is traction bronchiectasis indicating
GGO as dominant pattern ... This case is one ... of the possible patterns ... relatively uniform pattern ... GroundGlass #GGO #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
to look at the pattern ... more than one pattern ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #RadiologyAssistant