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 ... on HRCT Most of ... low attenuation (table ... #Diagnosis #Radiology ... #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
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... bronchovascular interstitium ... the nodules are diffuse ... #Pulmonary #HRCT ... MultipleNodules #Nodules #Differential
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 ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
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 ... #Table #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... The histologic pattern ... are diffuse or ... #Clinical #Radiology ... 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 ... DesquamativeInterstitialPneumonia #ILD
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
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