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 ... in many cases UIP ... #Diagnosis #Radiology
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Lung cysts (LAM, LIP ... low attenuation pattern ... on the basis of HRCT ... LowAttenuation #Differential
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
UIP UIP is a histologic ... pattern of pulmonary ... as a reticular pattern ... This pattern was ... #CXR #UIP #Reticular
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... predominance: UIP ... , NSIP, DIP. - Centrilobular ... #GroundGlass #Differential
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
recognize the pattern ... of UIP on HRCT. ... #Clinical #Radiology ... #CTChest #UIP # ... #Pneumonitis #ILD
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
reticular interstitial pattern ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Interstitial #Pattern
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... realise, that these patterns ... findings of NSIP, UIP ... , OP and LIP have
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
a patient with DIP ... The HRCT shows diffuse ... and some mosaic pattern ... smoking #Clinical #Radiology ... #CTChest #DIP #
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... the nodules are diffuse ... #Pulmonary #HRCT ... NodularPattern #Nodular #Pattern
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... is seen in: - UIP ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution