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 ... on HRCT Most of ... low attenuation (table ... seen and in many cases ... #Pattern #Differential
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Non specific interstitial ... Clinical #Radiology #HRCT ... #CTChest #HighAttenuation ... #Pattern #Comparison ... #Table #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
interstitial pattern ... preference at the lung bases ... The HRCT demonstrates ... Radiology #CXR #UIP #CTChest ... #Reticular #Interstitial
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... manifests as a reticular ... A HRCT is needed ... HRCT demonstrated ... #Interstitial #
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... peribronchovascular interstitium ... #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... of reticular opacities ... diagnosis (Table ... Radiology #Pulmonary #HRCT ... #CTChest #Reticular
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... bronchovascular interstitium ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern ... MultipleNodules #Nodules #Differential
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 ... Radiology #CXR #CTChest ... #Cystic #Interstitial
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... have specific patterns ... morphologic findings on HRCT ... Radiology #Pulmonary #CTChest