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 ... reticular, nodular ... low attenuation (table ... 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 ... consolidation - Diffuse ... Interstitial - Reticular ... Clinical #Radiology #CXR ... #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
thickening in the reticular ... pattern. ... Radiology #Pulmonary #HRCT ... #Differential # ... RadiologyAssistant
Chest XRay Nodule / Mass Pattern - Differential Algorithm #Diagnosis #Radiology #Pulmonary #CXR #Nodule #Mass #Pattern
Chest XRay Nodule ... - Differential Algorithm ... Radiology #Pulmonary #CXR ... Pattern #Differential ... #Algorithm #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... are diffuse and ... #Nodules #Differential ... #Algorithm #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 ... Chronic #Fibrosis #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... resulting in lobar, diffuse ... fine or coarse reticular ... Diagnosis #Radiology #CXR ... #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 ... more than one pattern ... Radiology #Pulmonary #CXR ... #Table #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
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
between acute consolidation ... granulomatous noduli ... are so small and diffuse ... Radiology #Pulmonary #CXR ... #RadiologyAssistant