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 ... common pattern ... histiocytosis or honeycombing ... 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 ... as a reticular pattern ... a reticular pattern ... This pattern was ... 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 ... #UIP #CTChest # ... #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 ... findings of NSIP, UIP
On the left a patient with GGO as dominant pattern.
In addition there is traction bronchiectasis indicating
GGO as dominant pattern ... of the possible patterns ... relatively uniform pattern ... fibrosis with honeycombing ... 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
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
Total atelectasis
The chest x-ray shows total atelectasis of the right lung due to mucus plugging.
Notice the
Re-aeration on follow-up ... A common cause of ... Clinical #Radiology #CXR ... #Total #Lung #Collapse ... #RadiologyAssistant
These images are of a patient who had widespread bronchopneumonia and was on ventilation.
During follow up
During follow up ... This was caused ... Clinical #Radiology #CXR ... #Total #Lung #Collapse ... MucousPlugging #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
fine reticular pattern ... Notice the lack of honeycombing ... in all three cases ... , excluding UIP ... NonspecificInterstitialPneumonia #ILD #RadiologyAssistant