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: ... common pattern ... UIP can be suspected ... #Diagnosis #Radiology ... #Pulmonary #CXR
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... as a reticular pattern ... This pattern was ... #Clinical #Radiology ... #CXR #UIP #Reticular
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Nodular #Pattern
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... mass - Solitary Pulmonary ... Diagnosis #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
reticular interstitial pattern ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Interstitial #Pattern
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 #CTChest
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #NodularPattern ... #Nodular #Pattern
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
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
The histologic pattern ... aswell as the HRCT ... The HRCT characteristics ... #Clinical #Radiology ... AcuteInterstitialPneumonia #ILD
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 ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant