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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radiologyassistant diagnosis ctchest differential ild clinical interstitial reticular chestct comparison cxr distribution emergencies findings hemeonc idiopathic idiopathicinterstitialpneumonia interpretation lower multiplenodules
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
disease comes from HRCT ... On HRCT there are ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
bronchiolitis (RB-ILD ... - Aspiration - Pulmonary ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Table
Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look
Algorithm for nodular ... pattern The algorithm ... are visible, the pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT
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 ... #Pulmonary #CTChest
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 ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... Interpretation #Algorithm
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... Cardiogenic pulmonary ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
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 ... interpretion of the HRCT ... probably would be pulmonary ... #Clinical #Radiology
Septal thickening Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... differential diagnosis (Table ... in interstitial pulmonary ... #Diagnosis #Radiology ... #Pulmonary #HRCT
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
full infectious work-up ... days → add fungal work-up ... allopurinol 300 mg BID ... interventional radiology ... renal failure, pulmonary
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