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 ctchest clinical diagnosis hrct pulmonary cxr differential hypersensitivity hypersensitivitypneumonitis centrilobular fibrosis highattenuation interstitial nodularpattern consolidation diagram diffuse distribution findings
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis ... Hypersensitivity pneumonitis ... #Pattern #Comparison ... #Table #RadiologyAssistant
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
pattern. 1. ... Hypersensitivity pneumonitis ... #Pattern #NodularPattern ... #Differential #Comparison ... #Table #RadiologyAssistant
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... Sarcoidosis: nodules ... HRCT #CTChest #Nodular ... #Pattern #Comparison ... #Table #RadiologyAssistant
Chronic hypersensitivity pneumonitis The key findings in chronic hypersensitivity pneumonitis are: Mosaic pattern with areas of ground-glass atenuation
are: Mosaic pattern ... shows a mosaic pattern ... hyperaerated secondary nodules ... and secondry nodules ... #Fibrosis #RadiologyAssistant
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... specific interstitial pneumonitis ... HighAttenuation #Pattern ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... : reticular, nodular ... low attenuation (table ... seen and in many cases ... #Differential #RadiologyAssistant
High Attenuation pattern 1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity. 2. Sarcoid end-stage
High Attenuation pattern ... Chronic eosinophilic ... HighAttenuation #Pattern ... #Comparison #Table ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
pattern. ... In most cases small ... #Pattern #Distribution ... Perilymphatic #Comparison ... #Diagram #RadiologyAssistant
Subacute hypersensitivity pneumonitis The key findings in the subacute hypersensitivity pneumonitis are: ill-defined centrilobular nodules of ground-glass opacity
centrilobular nodules ... opacity (80% of cases ... ) or mosaic pattern ... centrilobular nodules ... Centrilobular #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 ... more than one pattern ... lobar pneumonia caused ... #RadiologyAssistant
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