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
interstitial opacities ... Nodule or mass ... - Multiple Masses ... Clinical #Radiology #CXR ... Consolidation #Patterns #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
patterns: reticular, nodular ... low attenuation (table ... On a CXR the most ... seen and in many cases ... #Differential #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
demonstrated a fine nodular ... Clinical #Radiology #CXR ... #Sarcoidosis #Nodular ... #Interstitial # ... Pattern #RadiologyAssistant
Hilar enlargement
The table summarizes the causes of hilar enlargement.
Normal hili are:
- Normal in position - left
enlargement The table ... summarizes the causes ... Diagnosis #Radiology #CXR ... Differential #Unilateral #Bilateral ... #RadiologyAssistant
Azygoesophageal recess
The most important mediastinal line to look for is the azygoesophageal line, which borders the
on most frontal CXRs ... The causes of displacement ... summarized in the table ... Diagnosis #Radiology #CXR ... #Differential #RadiologyAssistant
A hiatal hernia is the most common cause of displacement of the azygoesophageal line.
Notice the air
the most common cause ... of displacement ... hernia on the lateral ... Clinical #Radiology #CXR ... Hiatal #Hernia #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Sarcoidosis On a CXR ... Here a typical case ... Clinical #Radiology #CXR ... #Interstitial # ... #Sarcoidosis #RadiologyAssistant
Another common cause of displacement of the azygoesophageal line is subcarinal lymphadenopathy.
Notice the displacement of the
Another common cause ... of displacement ... Clinical #Radiology #CXR ... #Lateral #Subcarinal ... #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... in fact this is nodular ... interstitial lung ... Diagnosis #Radiology #CXR ... #RadiologyAssistant
Wegener's granulomatosis
Wegener's is a collagen vascular disease with vasculitis involving the lung, kidney and sinuses.
In the
the vasculitis causes ... In a later stage ... seen as multiple nodules ... Clinical #Radiology #CXR ... #RadiologyAssistant