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
four patterns: ... low attenuation (table ... common pattern ... UIP can be suspected ... #Differential #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... LCH: multiple round ... #Cystic #Pattern ... #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... histiocytosis (LCH ... #Cystic #Pattern ... #Comparison #Table ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Clinical #Radiology #HRCT ... #CTChest #Nodular ... #Pattern #Comparison ... #Table #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Diffuse ... Clinical #Radiology #CXR ... Consolidation #Patterns ... #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
with a reticular pattern ... or a cystic pattern ... or a reticular pattern ... a HRCT will give ... #CTChest #Cystic
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... a reticular pattern ... 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
reticular interstitial pattern ... The HRCT demonstrates ... #UIP #CTChest # ... #Interstitial #Pattern ... TractionBronchiectasis #RadiologyAssistant
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
recognize the pattern ... of UIP on HRCT. ... Clinical #Radiology #CTChest ... #Pneumonitis #ILD ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... the nodules are diffuse ... #Nodular #Pattern ... #RadiologyAssistant