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 ... lung disease comes ... lung disease and ... Diagnosis #Radiology #Pulmonary ... #Pattern #Differential
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Differential Diagnosis ... Algorithm Idiopathic ... leaking out of pulmonary ... #ILD #Causes #Differential
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 β€’ Hypersensitivity pneumonitis, Farmer's lung, Bird
Interstitial Lung ... ILD caused by inhalation ... lung disease (RB-ILD ... #differential # ... pulmonary #causes
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
hypersensitivity pneumonitis; HRCT ... tomography; UIP = usual interstitial ... #pneumonitis #pulmonary ... #diagnosis #algorithm ... #HP #ILD
ILD of Known Cause - Differential Diagnosis
Exposure:
 β€’ Occupational: Asbestosis, Silicosis, Hypersensitivity, Pneumonitis
 β€’ Treatment Related:
ILD of Known Cause ... #Causes #Differential ... #Diagnosis #interstitial ... #lung #disease ... #pulmonary
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns ... Diagnosis #Radiology #Pulmonary
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... lung disease (i.e ... in ground glass pattern ... Diagnosis #Radiology #Pulmonary ... #GroundGlass #Differential
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... bronchovascular interstitium ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... MultipleNodules #Nodules #Differential
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... A HRCT is needed ... at the lung bases ... HRCT demonstrated ... UIP #Reticular #Interstitial
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Causes of Dyspnea ... - Differential ... Diagnosis Algorithm ... β€’ Cancer β€’ Interstitial ... lung disease Vasculature