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
of these four patterns ... consolidation - Diffuse ... consolidation - Multifocal ... Consolidation #Patterns ... #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 ... #Table #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
interstitial lung disease ... 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 ... resulting in lobar, diffuse ... or multifocal ill-defined ... Consolidation #Patterns ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... specific patterns ... realise, that these patterns ... #Findings #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
the left some diseases ... with a nodular pattern ... CTChest #Nodular #Pattern ... Differential #Comparison #Table ... #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
to segmental, diffuse ... or multifocal ill-defined ... is interstitial disease ... Diagnosis #Radiology #CXR ... #Differential #RadiologyAssistant
Diffuse consolidation in bronchopneumonia
Here another case of diffuse consolidation.
This patient had fever and cough.
This was thought
It will lead to multifocal ... The disease does ... Bronchopneumonia can be caused ... Clinical #Radiology #CXR ... #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
with a reticular pattern ... or a cystic pattern ... called a cystic disease ... or a reticular pattern ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Sarcoidosis On a CXR ... Parenchymal disease ... Clinical #Radiology #CXR ... #Interstitial #Pattern ... #Sarcoidosis #RadiologyAssistant