Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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radiology clinical ctchest diagnosis interstitial pulmonary consolidation differential patterns uip comparison cystic honeycombing langerhanscellhistiocytosis lch lobar pneumonitis acuteinterstitialpneumonia aip bronchiectasis
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... low attenuation (table ... pattern on a CXR ... seen and in many cases ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Diffuse ... Interstitial - Reticular ... Nodule - Multiple Masses ... Clinical #Radiology #CXR ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases. The HRCT demonstrates
The CXR demonstrates ... pattern with a ... preference at the lung bases ... The HRCT demonstrates ... TractionBronchiectasis #RadiologyAssistant
UIP UIP is a histologic pattern of pulmonary fibrosis. On a chest X-ray UIP manifests as a reticular
A HRCT is needed ... Here a CXR with ... a reticular pattern ... HRCT demonstrated ... #Honeycombing #RadiologyAssistant
Sarcoidosis In this case the chest x-ray shows subtle findings that could be described as fine reticulation. In
HRCT is needed to ... The HRCT - not shown ... Clinical #Radiology #CXR ... #Interstitial #Pattern ... #RadiologyAssistant
Chronic hypersensitivity pneumonitis The key findings in chronic hypersensitivity pneumonitis are: Mosaic pattern with areas of ground-glass atenuation
pneumonitis The key findings ... The HRCT shows a ... and intralobular reticular ... Clinical #Radiology #CXR ... Chronic #Fibrosis #RadiologyAssistant
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
pattern. ... pattern. ... In many of such cases ... a HRCT will give ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
indicates unknown cause ... listed in the table ... on HRCT and histology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Differential diagnosis The table summarizes the most common diseases, that present with consolidation. Chronic diseases are indicated in
diagnosis The table ... to look at the pattern ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #RadiologyAssistant
Basic Interpretation A structured approach to interpretation of HRCT involves the following questions: What is the dominant HR-pattern: reticular nodular high
the dominant HR-pattern ... : reticular nodular ... there additional findings ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
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