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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Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
hypersensitivity pneumonitis ... ; HRCT = high-resolution ... #pulmonary #diagnosis ... #algorithm #HP ... #ILD
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... Hypersensitivity pneumonitis ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT
Dynamic Air Bronchograms on Lung POCUS
Pneumonias look for Dynamic Air Bronchgrams within your consolidation.

POCUS 101 @Pocus101

#Dynamic
on Lung POCUS ... Pneumonias look ... #AirBronchograms ... POCUS #clinical #ultrasound ... #pulmonary #pneumonia
β–Ί
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
idiopathic interstitial pneumonias ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Differential Diagnosis Algorithm ... leaking out of pulmonary ... Chronic Radiation Pneumonitis ... #Diseases #ILD ... Differential #Diagnosis #Algorithm
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Hypersensitivity Pneumonitis ... Subacute stage: - RB-ILD ... show very similar HRCT ... throughout the whole lung ... 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 ... first think RB-ILD ... hypersensitivity pneumonitis ... #Clinical #Radiology ... RespiratoryBronchiolitis #ILD
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 ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
named Hamman Rich Pneumonitis ... rare idiopathic lung ... aswell as the HRCT ... #Clinical #Radiology ... AcuteInterstitialPneumonia #ILD