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
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
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
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
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
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
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
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 β€’ Anticipate difficult airway management and
to the i-STAR Algorithm ... difficult airway management ... and difficult mask ... ARDSnet low-PEEP table ... ARDS, tolerate mild
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