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
Differential diagnosis ... low attenuation (table ... common pattern ... UIP can be suspected ... RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
UIP UIP is a histologic ... pattern of pulmonary ... a chest X-ray UIP ... can suspect UIP ... #UIP #Reticular
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... realise, that these patterns ... findings of NSIP, UIP ... , OP and LIP have
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Lung cysts (LAM, LIP ... low attenuation pattern ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Diffuse ... Clinical #Radiology #CXR ... Consolidation #Patterns ... #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
in ground glass pattern ... predominance: UIP ... , NSIP, DIP. - Centrilobular ... #GroundGlass #Differential ... #RadiologyAssistant
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
recognize the pattern ... of UIP on HRCT. ... Radiology #CTChest #UIP ... #Pneumonitis #ILD ... #RadiologyAssistant
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Pneumonia β€’ (UIP ... Pneumonia β€’ (DIP ... Pneumonia β€’ (LIP ... Lung #Diseases #ILD ... #Causes #Differential
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
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