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
four patterns: ... low attenuation (table ... common pattern ... pattern on a CXR ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... - Reticular interstitial ... opacities Nodule or mass ... Consolidation #Patterns ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
a reticular interstitial ... pattern with a ... The HRCT demonstrates ... Pattern #Honeycombing ... TractionBronchiectasis #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... a reticular pattern ... This pattern was ... #Interstitial # ... #RadiologyAssistant
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
An acute reticular ... pattern is most ... frequently caused ... Clinical #Radiology #CXR ... Pneumonia #PJP #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
pattern or a cystic ... pattern. ... pattern. ... a HRCT will give ... CTChest #Cystic #Interstitial
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
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... fine or coarse reticular ... . 3- Nodule or mass ... 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 ... morphologic findings on HRCT ... realise, that these patterns
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... peribronchovascular interstitium ... #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant