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 ... common pattern ... UIP can be suspected ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... - Multiple Masses ... Clinical #Radiology #CXR ... Consolidation #Patterns ... #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 ... realise, that these patterns ... , UIP, OP and LIP
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
UIP UIP is a histologic ... pattern of pulmonary ... as a reticular pattern ... a reticular pattern ... This pattern was
On the left a patient with GGO as dominant pattern.
In addition there is traction bronchiectasis indicating
GGO as dominant pattern ... of the possible patterns ... relatively uniform pattern ... As in UIP (usual ... from that seen in UIP
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Pneumonia β€’ (UIP ... common β€’ (NSIP ... Pneumonia β€’ (DIP ... Pneumonia β€’ (LIP ... Lung #Diseases #ILD
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
reticular interstitial pattern ... preference at the lung bases ... #UIP #CTChest # ... #Interstitial #Pattern ... TractionBronchiectasis #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... the amount of air ... Diagnosis #Radiology #CXR ... Consolidation #Patterns ... #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
findings seen in NSIP ... fine reticular pattern ... , excluding UIP ... NonspecificInterstitialPneumonia #ILD ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
to look at the pattern ... more than one pattern ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #RadiologyAssistant