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
reticular, nodular ... low attenuation (table ... pattern on a CXR ... seen and in many cases ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Diffuse ... Interstitial - Reticular ... - Multiple Masses ... Clinical #Radiology #CXR ... #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
The HRCT shows a ... mosaic pattern ... and intralobular reticular ... Clinical #Radiology #CXR ... #Fibrosis #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
A HRCT is needed ... a reticular pattern ... attributed to chronic ... HRCT demonstrated ... #Honeycombing #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 ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
resulting in lobar, diffuse ... or multifocal ill-defined ... fine or coarse reticular ... Diagnosis #Radiology #CXR ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... the dominant HR-pattern ... : reticular nodular ... Interpretation #Algorithm ... #ILD #RadiologyAssistant