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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Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... - Diffuse consolidation ... - Multifocal ill-defined ... - Multiple Masses ... #Patterns #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 ... more than one pattern ... lobar pneumonia caused ... #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
. 1- Consolidation ... resulting in lobar, diffuse ... or multifocal ill-defined ... the amount of air ... #Patterns #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
characterized by diffuse ... The histologic pattern ... or patchy consolidation ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... : reticular, nodular ... low attenuation (table ... UIP can be suspected ... #Differential #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 ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
maybe there is an air-bronchogram ... with multifocal consolidations ... masses. ... The lab-findings ... OrganizingPneumonia #BOOP #RadiologyAssistant
Subacute hypersensitivity pneumonitis
The key findings in the subacute hypersensitivity pneumonitis are:
ill-defined centrilobular nodules of ground-glass opacity
pneumonitis The key findings ... opacity (80% of cases ... ) or mosaic pattern ... bronchiolitis with air ... Centrilobular #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 ... (ground-glass, consolidation ... there additional findings ... #ILD #RadiologyAssistant
Key findings in alveolar proteinosis
- Crazy paving pattern: reticular pattern superimposed on ground glass opacification.
- Opacifications
Key findings in ... : reticular pattern ... ground glass to consolidation ... This is caused by ... #CrazyPaving #RadiologyAssistant