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
On HRCT there are ... low attenuation (table ... seen and in many cases ... UIP can be suspected ... #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 ... a chest X-ray UIP ... can suspect UIP ... #Interstitial # ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
pattern with a ... preference at the lung bases ... The HRCT demonstrates ... #UIP #CTChest # ... TractionBronchiectasis #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... predominance: UIP ... , NSIP, DIP. - Centrilobular ... #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 ... morphologic findings on HRCT ... findings of NSIP, UIP ... , OP and LIP have
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
recognize the pattern ... of UIP on HRCT. ... Radiology #CTChest #UIP ... UsualInterstitialPneumonitis #Usual #Interstitial ... Pneumonitis #ILD #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
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
HRCT is needed to ... The HRCT - not shown ... Clinical #Radiology #CXR ... Sarcoidosis #Nodular #Interstitial ... #Pattern #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
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
recognizable on HRCT ... feature of usual interstitial ... pneumonia (UIP) ... #Honeycombing #UIP ... UsualInterstitialPneumonia #RadiologyAssistant