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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radiology diagnosis ctchest pulmonary ild clinical chestct chronic comparison distribution fibrosis ggo groundglass groundglassopacity hypersensitivitypneumonitis interpretation interstitial mimic rbild respiratorybronchiolitis
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
is seen in: - UIP ... #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
resolution of the HRCT ... in ground glass pattern ... be helpfull: - Upper ... predominance: UIP ... #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
UIP with honeycombing (left) and chronic HP (right) Differential diagnosis of Hypersensitivity Pneumonitis. Subacute stage: - RB-ILD: seen in
chronic HP (right) Differential ... seen in smokers, upper ... show very similar HRCT ... lower zone distribution ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings. The dominant pattern is ground glass opacification. Additional
with subtle HRCT-findings ... The dominant pattern ... emphysema in the upper ... there is a broad differential ... #RadiologyAssistant
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