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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The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... about imaging findings ... low attenuation (table ... in many cases UIP ... #Diagnosis #Radiology
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
characterized by diffuse ... The histologic pattern ... #Clinical #Radiology ... #CTChest #AIP # ... AcuteInterstitialPneumonia #ILD
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
The HRCT shows diffuse ... and some mosaic pattern ... smoking #Clinical #Radiology ... #CTChest #DIP # ... DesquamativeInterstitialPneumonia #ILD
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... - LIP/FB, LCDD ... , SS Cyst pattern ... presentations - ILD ... #Diagnosis #differential
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... Subacute stage: - RB-ILD ... very similar HRCT findings ... #CTChest #UIP # ... Fibrosis #Mimic #ILD
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 ... first think RB-ILD ... #CTChest #RBILD ... RespiratoryBronchiolitis #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 ... there additional findings ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
In the images on your left you can appreciate again the spectrum of findings seen in
the spectrum of findings ... fine reticular pattern ... #Clinical #Radiology ... #CTChest #NSIP ... NonspecificInterstitialPneumonia #ILD