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 ... low attenuation (table ... pattern on a CXR ... seen and in many cases ... #Diagnosis #Radiology
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... consolidation - Diffuse ... Interstitial - Reticular ... Diagnosis #Clinical #Radiology ... #CXR #Consolidation
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
pattern with a ... preference at the lung bases ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... A HRCT is needed ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
pattern. ... In many of such cases ... a HRCT will give ... #Clinical #Radiology ... #CXR #CTChest #
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... the nodules are diffuse ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
The table summarizes ... to look at the pattern ... lobar pneumonia caused ... #Diagnosis #Radiology ... #Pulmonary #CXR
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... diagnosis (Table ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film is a reticular ... patern and that's ... was caused by multiple ... #Clinical #Radiology ... #CXR #CTChest #