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 ... four patterns: ... low attenuation (table ... The cystic pattern ... RadiologyAssistant
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
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... #CTChest #NodularPattern ... #Nodular #Pattern ... #Algorithm #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... thickening in the reticular ... pattern. ... Radiology #Pulmonary #HRCT ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... CTChest #Nodular #Pattern ... #NodularPattern ... #Differential # ... Comparison #Table
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... incidental finding in HRCT ... #CTChest #Reticular ... #Pattern #Comparison ... #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
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... of reticular opacities ... diagnosis (Table ... Radiology #Pulmonary #HRCT ... #RadiologyAssistant