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 ... four patterns: ... low attenuation (table ... 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 ... as a reticular pattern ... a reticular pattern ... This pattern was
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 ... on the basis of HRCT ... LowAttenuation #Differential
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
reticular interstitial pattern ... The HRCT demonstrates ... #UIP #CTChest # ... #Interstitial #Pattern ... TractionBronchiectasis #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... the nodules are diffuse ... NodularPattern #Nodular #Pattern ... #Algorithm #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... predominance: UIP ... , NSIP, DIP. - Centrilobular ... #RadiologyAssistant
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
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
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
interstitial pneumonia (AIP ... The histologic pattern ... findings in AIP ... the diagnosis AIP ... Radiology #CTChest #AIP
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
a patient with DIP ... The HRCT shows diffuse ... and some mosaic pattern ... Radiology #CTChest #DIP ... DesquamativeInterstitialPneumonia #ILD #RadiologyAssistant