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
low attenuation (table ... common pattern ... The cystic pattern ... pattern on a CXR ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Diffuse ... Interstitial - Reticular ... Consolidation #Patterns ... #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... (LAM): uniform cysts ... bizarre shaped cysts ... #Pattern #Comparison ... #Table #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Cystic versus Reticular ... pattern or a cystic ... pattern. ... pattern. ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... (LAM): regular cysts ... LowAttenuation #Cystic ... #Pattern #Comparison ... #Table #RadiologyAssistant
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
pneumonias An acute reticular ... pattern is most ... frequently caused ... Clinical #Radiology #CXR ... Pneumonia #PJP #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... pattern particularly ... a reticular pattern ... This pattern was ... #Interstitial #Pattern
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... pattern with a ... preference at the lung bases ... #Interstitial #Pattern ... TractionBronchiectasis #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... before the typical cysts ... CTChest #Nodular #Pattern ... #Comparison #Table ... #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... resulting in lobar, diffuse ... fine or coarse reticular ... Consolidation #Patterns ... #RadiologyAssistant