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 ... The cystic pattern ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR
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 #CTChest
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
to look at the pattern ... more than one pattern ... lobar pneumonia caused ... #Diagnosis #Radiology ... #Pulmonary #CXR
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... of pulmonary fibrosis ... as a reticular pattern ... This pattern was ... #Clinical #Radiology
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... In most cases small ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... NodularPattern #Nodular #Pattern
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... patients) but can ... There are case reports ... Clinical #Diagnosis #Radiology ... PulmonaryComplications #Patterns
APVcmv - Adaptive Pressure Ventilation - Controlled Mechanical Ventilation Summary
Most Similar to PRVC - Pressure Regulated
neurogenic breathing patterns ... Confirm the height/ IBW ... respectively) - Can ... target volume Casey ... Ventilation #management #pulmonary
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 ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
your left you can ... tissue disease, all cases ... fine reticular pattern ... #Clinical #Radiology ... NonspecificInterstitialPneumonia #ILD
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
chest radiograph pattern ... Pulmonary Contusion ... Most commonly caused ... #Radiology #CTChest ... #Lung #Pulmonary