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 ... in interstitial lung ... four patterns: ... seen and in many cases ... Diagnosis #Radiology #Pulmonary
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... #HRCT #CTChest ... #NodularPattern ... #Nodular #Pattern
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... low attenuation pattern ... on the basis of HRCT ... Diagnosis #Radiology #Pulmonary ... LowAttenuation #Differential
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... structures of the lung ... Diagnosis #Radiology #Pulmonary ... #HRCT #NodularPattern ... #Nodular #Pattern
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... of pulmonary fibrosis ... as a reticular pattern ... at the lung bases ... This pattern was
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns ... Diagnosis #Radiology #Pulmonary
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... or interstitial lung ... in ground glass pattern ... Diagnosis #Radiology #Pulmonary ... #GroundGlass #Differential
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
coagulopathy) β€’ CBC w differential ... Goodpasture's cause ... sparing of the lung ... β€’ IF staining patterns ... Renal #Syndromes #differential
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... cells results in a pattern ... with interstitial lung ... in interstitial pulmonary ... #HRCT #CTChest
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... LCDD, SS Cyst pattern ... Disease #DCLD #pulmonary ... #Algorithm #Diagnosis ... #differential