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 ... pattern on a CXR ... seen and in many cases ... 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
The CXR demonstrates ... pattern with a ... preference at the lung bases ... The HRCT demonstrates ... #Interstitial #Pattern
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic distribution ... thickening in the reticular ... pattern. ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest
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 #CTChest ... NodularPattern #Nodular #Pattern
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
pneumonitis are: Mosaic pattern ... in a mid zone distribution ... The HRCT shows a ... mosaic pattern ... Clinical #Radiology #CXR
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 ... and perihilar distribution ... #CTChest #Reticular ... #Pattern #Comparison
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
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
pattern or a cystic ... pattern. ... pattern. ... In many of such cases ... a HRCT will give