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
Differential diagnosis ... in interstitial lung ... low attenuation (table ... is interstitial lung ... RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... Radiology #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution ... RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... the nodules are diffuse ... Radiology #Pulmonary #HRCT ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
The table summarizes ... to look at the pattern ... of distribution ... Radiology #Pulmonary #CXR ... #Table #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... or interstitial lung ... in ground glass pattern ... bronchiolitis, PCP. - Lower ... #RadiologyAssistant
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... Diffuse distribution ... LCDD, SS Cyst pattern ... DCLD #pulmonary #Algorithm ... #Diagnosis #differential
Metastases
Metastases are the most common cause of multiple pulmonary masses.
Usually they vary in size and are
predominate in the lower ... HRCT will demonstrate ... Clinical #Radiology #CXR ... #LungMets #Lung ... #Metastases #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
densities in both lungs ... air-bronchogram in the right lower ... dealing with the differential ... Clinical #Radiology #CXR ... OrganizingPneumonia #BOOP #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
with ground glass pattern ... in a mosaic distribution ... The differential ... are confluent, HRCT ... shows diffuse ground
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... show very similar HRCT ... UIP has a strong lower ... zone distribution ... throughout the whole lung