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
low attenuation (table ... is reticular. ... seen and in many cases ... UIP can be suspected ... #Differential #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... of NSIP, UIP, OP ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... edema: incidental finding ... HRCT #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
The findings on ... honeycombing comprises reticular ... densities caused ... #Pneumonitis #Reticular ... #ILD #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
the spectrum of findings ... pattern. ... , excluding UIP ... NonspecificInterstitialPneumonia #ILD ... #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 ... there additional findings ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... : 10 g TID for up ... Effects: Edema (mild ... #pharmacology #table ... #comparison #binders
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
is an important finding ... The most common causes ... produces only mild ... Lobar #Collapse #Patterns ... #Comparison #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
outcome in many cases ... The histologic pattern ... these imaging findings ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... The dominant findig ... chest film is a reticular ... was caused by multiple ... Histiocytosis #Cystic #RadiologyAssistant