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 ... there are four patterns ... low attenuation (table ... The cystic pattern ... seen and in many cases
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... LCH: multiple round ... Radiology #HRCT #CTChest ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... histiocytosis (LCH ... Radiology #HRCT #CTChest ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
pattern or a cystic ... pattern. ... pattern. ... In many of such cases ... Radiology #CXR #CTChest
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Radiology #Pulmonary #CTChest ... #Nodular #Pattern ... NodularPattern #Differential ... #Comparison #Table
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 ... recognized that this pattern ... was caused by multiple ... Radiology #CXR #CTChest
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Radiology #HRCT #CTChest ... #Reticular #Pattern ... #Comparison #Table
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 ... has a limited differential ... diagnosis (Table ... #Differential #
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
important finding on a chest ... has a limited differential ... The most common causes ... Lobar #Collapse #Patterns ... #Comparison #RadiologyAssistant