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
low attenuation (table ... histiocytosis or honeycombing ... seen and in many cases ... UIP can be suspected ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
preference at the lung bases ... The HRCT demonstrates ... Radiology #CXR #UIP ... #Pattern #Honeycombing ... TractionBronchiectasis #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Non specific interstitial ... bronchiectasis, no honeycombing ... Clinical #Radiology #HRCT ... #Comparison #Table ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
A HRCT is needed ... HRCT demonstrated ... #Reticular #Interstitial ... #Pattern #Honeycombing ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... bronchovascular interstitium ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern ... #RadiologyAssistant
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
second reticular pattern ... recognizable on HRCT ... low attenuation pattern ... feature of usual interstitial ... #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 ... morphologic findings on HRCT ... ILD #Findings #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... In most cases small ... peribronchovascular interstitium ... #NodularPattern ... Comparison #Diagram #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... The histologic pattern ... aswell as the HRCT ... The HRCT characteristics ... AcuteInterstitialPneumonia #ILD #RadiologyAssistant
On the left a patient with GGO as dominant pattern.
In addition there is traction bronchiectasis indicating
GGO as dominant pattern ... This case is one ... As in UIP (usual ... fibrosis with honeycombing ... GroundGlass #GGO #RadiologyAssistant