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 ... four patterns: ... low attenuation (table ... common pattern ... Diagnosis #Radiology #Pulmonary
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... low attenuation pattern ... on the basis of HRCT ... findings. ... Diagnosis #Radiology #Pulmonary
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
x-ray shows subtle findings ... HRCT is needed to ... The HRCT - not shown ... Clinical #Radiology #CXR ... #Interstitial #Pattern
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 ... as a reticular pattern ... a reticular pattern ... This pattern was
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 ... on HRCT and histology ... realise, that these patterns
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... edema: incidental finding ... in HRCT, smooth ... CTChest #Reticular #Pattern ... #Comparison #Table
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... In most cases small ... Diagnosis #Radiology #Pulmonary ... #Nodular #Pattern ... Perilymphatic #Comparison
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
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 ... the dominant HR-pattern ... there additional findings ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
is an important finding ... The most common causes ... Diagnosis #Radiology #CXR ... Lobar #Collapse #Patterns ... #Comparison #RadiologyAssistant