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
about imaging findings ... common pattern ... The cystic pattern ... Diagnosis #Radiology #Pulmonary ... #CXR #Interstitial
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Diffuse ... mass - Solitary Pulmonary ... Clinical #Radiology #CXR ... Consolidation #Patterns
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... of Diffuse Cystic ... pattern not consistent ... presentations - ILD ... Disease #DCLD #pulmonary
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... have specific patterns ... realise, that these patterns ... Diagnosis #Radiology #Pulmonary ... IdiopathicInterstitialPneumonia #ILD
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
to look at the pattern ... more than one pattern ... lobar pneumonia caused ... Diagnosis #Radiology #Pulmonary ... #CXR #Consolidation
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... characterized by diffuse ... The histologic pattern ... aswell as the HRCT findings ... AcuteInterstitialPneumonia #ILD
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
The dominant findig ... is a reticular patern ... recognized that this pattern ... was caused by multiple ... Clinical #Radiology #CXR
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... attenuation (emphysema, cystic ... there additional findings ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
A 39-year-old ... physical exam findings ... a chest x-ray (CXR ... chest radiograph pattern ... not seen on a CXR