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 ... - Reticular interstitial ... - Multiple Masses ... Consolidation #Patterns ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
: reticular, nodular ... low attenuation (table ... histiocytosis or honeycombing ... seen and in many cases ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
demonstrates a reticular ... interstitial pattern ... preference at the lung bases ... Pattern #Honeycombing ... TractionBronchiectasis #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
manifests as a reticular ... demonstrating honeycombing ... #Interstitial # ... Pattern #Honeycombing ... #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... or multifocal ill-defined ... opacities. 2- Interstitial ... fine or coarse reticular ... #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 ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
appearance of honeycombing ... comprises reticular ... densities caused ... UsualInterstitialPneumonitis #Usual #Interstitial ... #ILD #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... of reticular opacities ... differential diagnosis (Table ... Nodular or irregular ... #Differential #RadiologyAssistant
Key findings in alveolar proteinosis
- Crazy paving pattern: reticular pattern superimposed on ground glass opacification.
- Opacifications
- Crazy paving pattern ... : reticular pattern ... This is caused by ... transported to the interstitium ... #CrazyPaving #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
GGO with a fine reticular ... pattern. ... Notice the lack of honeycombing ... NonspecificInterstitialPneumonia #ILD ... #RadiologyAssistant