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
disease comes from HRCT ... On HRCT there are ... seen and in many cases ... #Diagnosis #Radiology ... #Pulmonary #CXR
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... are visible, the pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT
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 ... #Diagnosis #Radiology ... #Pulmonary #CTChest
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... in the nodular pattern ... In most cases small ... #Diagnosis #Radiology ... #Pulmonary #HRCT
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... In many cases you ... A HRCT is needed ... HRCT demonstrated ... #Clinical #Radiology
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 ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... Interpretation #Algorithm
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... The dominant pattern ... interpretion of the HRCT ... probably would be pulmonary ... #Clinical #Radiology
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
The histologic pattern ... aswell as the HRCT ... The HRCT characteristics ... #Clinical #Radiology ... AcuteInterstitialPneumonia #ILD
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
allopurinol 300 mg BID ... Treat underlying cause ... interventional radiology ... bispecifics, or HSCT ... renal failure, pulmonary