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
Differential diagnosis ... low attenuation (table ... UIP can be suspected ... Diagnosis #Radiology #Pulmonary ... #Pattern #Differential
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 ... a reticular pattern ... This pattern was ... #Interstitial #Pattern
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
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
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... the nodules are diffuse ... #HRCT #CTChest ... NodularPattern #Nodular #Pattern
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 ... findings of NSIP, UIP
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
characterized by diffuse ... The histologic pattern ... aswell as the HRCT ... are diffuse or ... AcuteInterstitialPneumonia #ILD
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
- LIP/FB, LCDD ... , SS Cyst pattern ... presentations - ILD ... Disease #DCLD #pulmonary ... #differential
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... The dominant pattern ... there is a broad differential ... interpretion of the HRCT ... patient was coughing up
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
A 39-year-old ... a chest x-ray (CXR ... Because this breaks up ... chest radiograph pattern ... not seen on a CXR