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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Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... - Aspiration - Pulmonary ... #HRCT #ChestCT ... #Upper #Lower #RadiologyAssistant
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
entities manifest as diffuse ... also uncommon HRCT-presentations ... Diagnosis #Radiology #Pulmonary ... SHITFACED #Mnemonic #HRCT ... #RadiologyAssistant
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
transbronchial lung ... hypersensitivity pneumonitis; HRCT ... #pneumonitis #pulmonary ... #diagnosis #algorithm ... #HP #ILD
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... the nodules are diffuse ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... morphologic findings on HRCT ... Diagnosis #Radiology #Pulmonary ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
rare idiopathic lung ... characterized by diffuse ... aswell as the HRCT ... are diffuse or ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... Lung Disease (DCLD ... presentations - ILD ... Disease #DCLD #pulmonary ... #Algorithm #Diagnosis
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
the secondary pulmonary ... Pulmonary vessels ... Panlobular emphysema is diffuse ... difficult to detect on HRCT ... PanlobularEmphysema #RadiologyAssistant