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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Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... pneumonitis: ill ... CTChest #Nodular #Pattern ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... low attenuation (table ... seen and in many cases ... UIP can be suspected ... #Differential #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Hypersensitivity ... CTChest #Nodular #Pattern ... Differential #Comparison #Table ... #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 ... #Findings #RadiologyAssistant
Subacute hypersensitivity pneumonitis
The key findings in the subacute hypersensitivity pneumonitis are:
ill-defined centrilobular nodules of ground-glass opacity
opacity (80% of cases ... ) or mosaic pattern ... bronchiolitis with air ... There are ill-defined ... Centrilobular #RadiologyAssistant
Here another case of hypersensitivity pneumonitis.
There is a mosaic pattern.
Some secundary lobules demonstrate ground-glass opacity due
Here another case ... of hypersensitivity ... There is a mosaic pattern ... bronchiolitis with air ... #GroundGlass #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
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
pneumonitis (2) The case ... scan: the mosaic pattern ... scan, indicating air ... with a mozaic pattern ... HypersensitivityPneumonitis #Fibrosis #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
outcome in many cases ... The histologic pattern ... appearance like in the case ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
density of the air ... fine reticular pattern ... , excluding UIP ... NonspecificInterstitialPneumonia #ILD ... #RadiologyAssistant