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
there are four patterns ... pattern can be ... seen and in many cases ... UIP can be suspected ... Diagnosis #Radiology #Pulmonary
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... - Reticular interstitial ... mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Consolidation #Patterns
Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
 β€’ Homogeneous pattern: 
   -
and Cytoplasmic Patterns ... Nuclear Patterns ... β€’ Homogeneous pattern ... - SLE, SSc, AIH ... : β€’ Reticular/
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Differential Diagnosis Algorithm ... leaking out of pulmonary ... Lung #Diseases #ILD ... #Causes #Differential
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... pattern particularly ... pattern at the ... This pattern was ... #Reticular #Interstitial
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
demonstrates a reticular ... interstitial pattern ... preference at the lung bases ... Radiology #CXR #UIP ... Pattern #Honeycombing
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... have specific patterns ... realise, that these patterns ... Diagnosis #Radiology #Pulmonary ... IdiopathicInterstitialPneumonia #ILD
In the images on your left you can appreciate again the spectrum of findings seen in
density of the air ... superimposed fine reticular ... GGO with a fine reticular ... pattern. ... NonspecificInterstitialPneumonia #ILD
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... outcome in many cases ... The histologic pattern ... appearance like in the case ... AcuteInterstitialPneumonia #ILD
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm ... #ILD #RadiologyAssistant