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
reticular, nodular ... low attenuation (table ... pattern on a CXR ... Diagnosis #Radiology #Pulmonary ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Diffuse ... Interstitial - Reticular ... mass - Solitary Pulmonary ... Clinical #Radiology #CXR ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... A HRCT is needed ... a reticular pattern ... #UIP #Reticular ... #Honeycombing #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... are diffuse and ... #HRCT #CTChest ... #Algorithm #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
pattern with a ... preference at the lung bases ... The HRCT demonstrates ... #UIP #CTChest # ... TractionBronchiectasis #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
resulting in lobar, diffuse ... fine or coarse reticular ... the amount of air ... Diagnosis #Radiology #CXR ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... lobar pneumonia caused ... Diagnosis #Radiology #Pulmonary ... #CXR #Consolidation ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... morphologic findings on HRCT ... Diagnosis #Radiology #Pulmonary ... ILD #Findings #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... differential diagnosis (Table ... Nodular or irregular ... #HRCT #CTChest ... #Differential #RadiologyAssistant