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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Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... consolidation - Diffuse ... - Solitary Pulmonary ... Masses Atelectasis ... Clinical #Radiology #CXR
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
reticular, nodular ... low attenuation (table ... seen and in many cases ... Diagnosis #Radiology #Pulmonary ... #CXR #Interstitial
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
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
the chest x-ray ... HRCT is needed to ... Clinical #Radiology #CXR ... #Interstitial # ... Pattern #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... morphologic findings on HRCT ... Diagnosis #Radiology #Pulmonary ... #CTChest #Idiopathic
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... On a chest X-ray ... A HRCT is needed ... HRCT demonstrated ... UIP #Reticular #Interstitial
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... to look at the pattern ... lobar pneumonia caused ... Diagnosis #Radiology #Pulmonary ... #CXR #Consolidation
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 ... pulmonary edema ... Nodular or irregular ... #HRCT #CTChest
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 ... #HRCT #CTChest ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... The histologic pattern ... are diffuse or ... Clinical #Radiology #CTChest ... AcuteInterstitialPneumonia #ILD