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 ... lung disease comes ... low attenuation (table ... Diagnosis #Radiology #Pulmonary ... #Pattern #Differential
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... on the basis of HRCT ... Diagnosis #Radiology #Pulmonary ... LowAttenuation #Differential ... #Diagram #Comparison
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... bronchovascular interstitium ... the nodules are diffuse ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest
Connective tissue disease-associated interstitial lung diseases

LIP: lymphoid interstitial pneumonia. NSIP: nonspecific interstitial pneumonia. OP: organizing pneumonia.
disease-associated interstitial ... lung diseases ... CTILD #Diagnosis #Differential ... #Comparison #Table ... #Pulmonary #Rheumatology
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns ... Diagnosis #Radiology #Pulmonary
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
according to Blue Protocol ... Differential Bilat ... : Pulmonary edema ... lung disease, interstitial ... diffuse infections
β–Ί
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... lung disease (i.e ... in ground glass pattern ... Diagnosis #Radiology #Pulmonary ... #GroundGlass #Differential
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... cells results in a pattern ... lung disease, it ... diagnosis (Table ... #HRCT #CTChest
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... peribronchovascular interstitium ... structures of the lung ... Diagnosis #Radiology #Pulmonary ... Perilymphatic #Comparison
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Cardiogenic pulmonary ... incidental finding in HRCT ... peribronchovascular interstitium ... #Comparison #Table