Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis radiology pulmonary ctchest ild clinical hrct chestct chronic comparison cystic dcld diffuse disease distribution fibrosis ggo groundglass groundglassopacity hypersensitivitypneumonitis
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
is seen in: - UIP ... HRCT #ChestCT #Differential ... #Table #Distribution ... #Upper #Lower # ... RadiologyAssistant
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... in many cases UIP ... #Differential # ... RadiologyAssistant
Ground-glass opacity Ground-glass opacity (GGO) represents: - Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
in ground glass pattern ... be helpfull: - Upper ... bronchiolitis, PCP. - Lower ... predominance: UIP ... #RadiologyAssistant
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 ... seen in smokers, upper ... lower zone distribution ... #RadiologyAssistant
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 ... random) Is there an upper ... versus lower zone ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD) Round, smooth cysts with normal lung parenchyma in
cavities in an upper ... distribution - LIP ... LCDD, SS Cyst pattern ... presentations - ILD ... #Diagnosis #differential
On the left a smoker with RB-ILD with subtle HRCT-findings. The dominant pattern is ground glass opacification. Additional
The dominant pattern ... emphysema in the upper ... there is a broad differential ... patient was coughing up ... #RadiologyAssistant
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