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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Chest XRay Nodule / Mass Pattern - Differential Algorithm #Diagnosis #Radiology #Pulmonary #CXR #Nodule #Mass #Pattern
XRay Nodule / Mass ... Pattern - Differential ... Algorithm #Diagnosis ... #Pattern #Differential ... #Algorithm #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... four patterns: ... low attenuation (table ... in many cases UIP ... RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... result of massive fibrosis ... HighAttenuation #Pattern ... #Comparison #Table ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... low attenuation pattern ... on the basis of HRCT ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
High Attenuation pattern ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern ... #Comparison #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 ... as seen in fibrosis ... in ground glass pattern ... #GroundGlass #Differential ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... the nodules are diffuse ... NodularPattern #Nodular #Pattern ... #Algorithm #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
combinations of fibrosis ... listed in the table ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... fibrosis. ... as a reticular pattern ... with a reticular pattern ... This pattern was
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 ... abnormalities and signs of fibrosis ... DesquamativeInterstitialPneumonia #ILD #RadiologyAssistant