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
consolidation - Diffuse ... Interstitial - Reticular ... Atelectasis #Diagnosis ... Clinical #Radiology #CXR ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... pattern on a CXR ... seen and in many cases ... #Differential #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
The table summarizes ... to look at the pattern ... lobar pneumonia caused ... #Pulmonary #CXR ... #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
resulting in lobar, diffuse ... fine or coarse reticular ... #Diagnosis #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
manifests as a reticular ... to confirm the diagnosis ... Here a CXR with ... a reticular pattern ... #Honeycombing #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #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 ... bronchiectasis) #Diagnosis ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
chest film is a reticular ... was caused by multiple ... challenging differential diagnosis ... Clinical #Radiology #CXR ... Histiocytosis #Cystic #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
GGO with a fine reticular ... pattern. ... excluding UIP as diagnosis ... NonspecificInterstitialPneumonia #ILD ... #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
In most cases these ... to segmental, diffuse ... #Diagnosis #Radiology ... #CXR #Multifocal ... #Differential #RadiologyAssistant