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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The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
unknown cause and ... listed in the table ... have specific patterns ... realise, that these patterns ... #Findings #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
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... CTChest #Nodular #Pattern ... #Comparison #Table ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... opacities Nodule or mass ... Nodule - Multiple Masses ... Consolidation #Patterns ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... bronchiolitis: ill ... CTChest #Nodular #Pattern ... #Differential #Comparison ... #Table #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
to look at the pattern ... more than one pattern ... lobar pneumonia caused ... When it is idiopathic ... #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... . 3- Nodule or mass ... the amount of air ... Consolidation #Patterns ... #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Pneumonitis) is a rare idiopathic ... outcome in many cases ... The histologic pattern ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant
On the left a patient with GGO as dominant pattern.
In addition there is traction bronchiectasis indicating
GGO as dominant pattern ... of the possible patterns ... relatively uniform pattern ... NSIP may be idiopathic ... GroundGlass #GGO #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