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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Here are the most common examples of these four patterns on a chest x-ray (click image
interstitial opacities ... Nodule or mass ... - Multiple Masses ... Clinical #Radiology #CXR ... Consolidation #Patterns #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
patterns: reticular, nodular ... low attenuation (table ... histiocytosis or honeycombing ... seen and in many cases ... #Differential #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Non specific interstitial ... bronchiectasis, no honeycombing ... HighAttenuation #Pattern #Comparison ... #Table #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... a reticular interstitial ... preference at the lung bases ... Clinical #Radiology #CXR ... TractionBronchiectasis #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
demonstrated a fine nodular ... Clinical #Radiology #CXR ... #Sarcoidosis #Nodular ... #Interstitial # ... Pattern #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
suspect UIP on the CXR ... Here a CXR with ... UIP #Reticular #Interstitial ... #Pattern #Honeycombing ... #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Sarcoidosis On a CXR ... Here a typical case ... Clinical #Radiology #CXR ... #Interstitial # ... #Sarcoidosis #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
distribution of nodules ... In most cases small ... peribronchovascular interstitium ... Perilymphatic #Comparison ... #Diagram #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... in fact this is nodular ... interstitial lung ... Diagnosis #Radiology #CXR ... #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
appearance of honeycombing ... reticular densities caused ... Clinical #Radiology #CXR ... UsualInterstitialPneumonitis #Usual #Interstitial ... Reticular #ILD #RadiologyAssistant