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
about imaging findings ... reticular, nodular ... UIP can be suspected ... Diagnosis #Radiology #Pulmonary ... #CXR #Interstitial
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Diffuse ... - Solitary Pulmonary ... Masses Atelectasis ... Clinical #Radiology #CXR
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
HRCT is needed to ... The HRCT - not shown ... Clinical #Radiology #CXR ... #Interstitial # ... Pattern #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... bronchovascular interstitium ... are diffuse and ... #HRCT #CTChest
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Differential Diagnosis Algorithm ... leaking out of pulmonary ... Metastases to lung as nodules ... Lung #Diseases #ILD
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... have specific patterns ... on HRCT and histology ... Diagnosis #Radiology #Pulmonary ... IdiopathicInterstitialPneumonia #ILD
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... on the CXR. ... A HRCT is needed ... HRCT demonstrated ... #Interstitial #
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... The histologic pattern ... findings in AIP ... are diffuse or ... AcuteInterstitialPneumonia #ILD
Whenever you see an area of increased density within the lung, it must be the result
resulting in lobar, diffuse ... or multifocal ill-defined ... opacities. 2- Interstitial ... the amount of air ... Diagnosis #Radiology #CXR
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 ... : reticular nodular ... there additional findings ... Interpretation #Algorithm ... #ILD #RadiologyAssistant