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
four patterns: ... low attenuation (table ... common pattern ... pattern on a CXR ... Diagnosis #Radiology #Pulmonary
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... of pulmonary fibrosis ... pattern particularly ... a reticular pattern ... This pattern was
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
pattern with a ... preference at the lung bases ... The HRCT demonstrates ... #UIP #CTChest # ... #Pattern #Honeycombing
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... Interstitial - Reticular ... mass - Solitary Pulmonary ... Clinical #Radiology #CXR ... Consolidation #Patterns
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Cardiogenic pulmonary ... #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
pattern or a cystic ... pattern. ... pattern. ... a HRCT will give ... #CTChest #Cystic
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 ... realise, that these patterns ... #CTChest #Idiopathic
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 ... : reticular nodular ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm
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 ... differential diagnosis (Table ... in interstitial pulmonary ... #HRCT #CTChest