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 ... #Diagnosis #Radiology ... Pattern #Differential
Chest XRay Interstitial Pattern - Differential Algorithm #Diagnosis #Radiology #Pulmonary #CXR #Interstitial #Pattern #Differential #Algorithm #RadiologyAssistant
Chest XRay Interstitial ... Pattern - Differential ... #Radiology #Pulmonary ... #CXR #Interstitial ... #Pattern #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 ... UsualInterstitialPneumonitis #Usual #Interstitial ... #Pneumonitis #ILD
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns ... IdiopathicInterstitialPneumonia #ILD
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... bronchovascular interstitium ... #Pulmonary #HRCT ... NodularPattern #Nodular #Pattern
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
The table summarizes ... to look at the pattern ... more than one pattern ... #Diagnosis #Radiology ... #Pulmonary #CXR
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 ... #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... has a limited differential ... diagnosis (Table ... #Diagnosis #Radiology ... #Pulmonary #HRCT
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
smoker with RB-ILD ... The dominant pattern ... there is a broad differential ... first think RB-ILD ... RespiratoryBronchiolitis #ILD
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... The histologic pattern ... aswell as the HRCT ... #Clinical #Radiology ... AcuteInterstitialPneumonia #ILD