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 ... Interstitial - ... Nodule or mass ... - Multiple Masses ... #Patterns #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Non specific interstitial ... Sarcoidosis end-stage: consolidation ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
: reticular, nodular ... low attenuation (table ... seen and in many cases ... UIP can be suspected ... #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
can present as consolidation ... they may resemble consolidation ... #Interstitial # ... Pattern #Sarcoidosis ... #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... . 1- Consolidation ... opacities. 2- Interstitial ... the amount of air ... #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 ... have specific patterns ... realise, that these patterns ... ILD #Findings #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
pattern. ... In most cases small ... peribronchovascular interstitium ... Perilymphatic #Comparison ... #Diagram #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... The histologic pattern ... diffuse or patchy consolidation ... There are areas of consolidation ... AcuteInterstitialPneumonia #ILD #RadiologyAssistant
Key findings in alveolar proteinosis
- Crazy paving pattern: reticular pattern superimposed on ground glass opacification.
- Opacifications
- Crazy paving pattern ... : reticular pattern ... ground glass to consolidation ... transported to the interstitium ... #CrazyPaving #RadiologyAssistant