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 ... pattern on a CXR ... seen and in many cases ... #Differential #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... perilymphatic, random and centrilobular ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... in the nodular pattern ... In most cases small ... #NodularPattern ... Comparison #Diagram #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... pattern with a ... preference at the lung bases ... The HRCT demonstrates ... TractionBronchiectasis #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
A HRCT is needed ... Here a CXR with ... a reticular pattern ... HRCT demonstrated ... #Honeycombing #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
pattern. ... pattern. ... In many of such cases ... a HRCT will give ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... secondary lobule (centrilobular ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
chest film is a reticular ... was caused by multiple ... this patient is centrilobular ... Clinical #Radiology #CXR ... Histiocytosis #Cystic #RadiologyAssistant