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
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 ... Radiology #Pulmonary #CTChest ... #Nodular #Pattern ... #NodularPattern ... #RadiologyAssistant
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
recognize the pattern ... of UIP on HRCT. ... #UIP #UsualInterstitialPneumonitis ... #Pneumonitis #ILD ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... realise, that these patterns ... findings of NSIP, UIP ... , OP and LIP have
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Lung cysts (LAM, LIP ... low attenuation pattern ... Radiology #Pulmonary #CTChest ... Emphysema #SignetRing #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 ... #NodularPattern ... #Nodular #Pattern ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Radiology #HRCT #CTChest ... #Nodular #Pattern ... #Comparison #Table ... #RadiologyAssistant
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 ... a reticular pattern ... with a reticular pattern ... This pattern was
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
you think of the causes ... or tumor cells (Table ... fibrosis as in UIP ... Radiology #Pulmonary #CTChest ... #Differential #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
in ground glass pattern ... predominance: UIP ... , NSIP, DIP. - Centrilobular ... Radiology #Pulmonary #CTChest ... #Differential #RadiologyAssistant