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 ... The cystic pattern ... When the cysts have ... seen and in many cases ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... consolidation - Diffuse ... Nodule - Multiple Masses ... Clinical #Radiology #CXR ... #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 ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
or a cystic pattern ... The CXR is of a ... In many of such cases ... #CTChest #Cystic ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... before the typical cysts ... Radiology #Pulmonary #CTChest ... Differential #Comparison #Table ... #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... was caused by multiple ... Clinical #Radiology #CXR ... #CTChest #LCH # ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... Radiology #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
reticular densities caused ... thick walls of the cysts ... Clinical #Radiology #CXR ... #CTChest #UIP # ... #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 ... attenuation (emphysema, cystic ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
cyst has formed ... Here we see an old ... Clinical #Radiology #CXR ... #CTChest #LungInfarct ... PulmonaryEmbolism #RadiologyAssistant