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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Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... Radiology #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution ... #Upper #Lower #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis: ill ... perilymphatic distribution ... Clinical #Radiology #HRCT ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... in many cases UIP ... #Differential # ... RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
The table summarizes ... of distribution ... The old name is ... Radiology #Pulmonary #CXR ... #Table #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
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... bronchiolitis: ill ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Diffuse distribution ... - LIP/FB, LCDD ... , SS Cyst pattern ... presentations - ILD ... #Diagnosis #differential
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
a patient with DIP ... The HRCT shows diffuse ... and some mosaic pattern ... DesquamativeInterstitialPneumonia #ILD ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... morphologic findings on HRCT ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... Subacute stage: - RB-ILD ... show very similar HRCT ... lower zone distribution ... #RadiologyAssistant