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 ... seen and in many cases ... #Differential #RadiologyAssistant
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
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... as a reticular pattern ... a reticular pattern ... at the lung bases ... This pattern was
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
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... have specific patterns ... realise, that these patterns ... ILD #Findings #RadiologyAssistant
Here another case of hypersensitivity pneumonitis.
There is a mosaic pattern.
Some secundary lobules demonstrate ground-glass opacity due
Here another case ... of hypersensitivity ... There is a mosaic pattern ... opacity due to lung ... #GroundGlass #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 ... Diagnosis #Radiology #CXR ... #Patterns #Comparison ... #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
Subacute hypersensitivity pneumonitis
The key findings in the subacute hypersensitivity pneumonitis are:
ill-defined centrilobular nodules of ground-glass opacity
Subacute hypersensitivity ... opacity (80% of cases ... ) or mosaic pattern ... opacity due to lung ... Centrilobular #RadiologyAssistant
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
pneumonitis (2) The case ... scan: the mosaic pattern ... mid and lower lung ... with a mozaic pattern ... HypersensitivityPneumonitis #Fibrosis #RadiologyAssistant