Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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radiology radiologyassistant diagnosis ctchest differential clinical interstitial comparison ild nodularpattern reticular centrilobular chronic consolidation diagram diffuse fibrosis hypersensitivity hypersensitivitypneumonitis idiopathic
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... four patterns: ... reticular, nodular ... low attenuation (table ... Diagnosis #Radiology #Pulmonary
Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look
Algorithm for nodular ... pattern The algorithm ... are visible, the pattern ... #HRCT #CTChest ... #Pattern #MultipleNodules
The distribution of nodules shown on HRCT is the most important factor in making an accurate
on HRCT is the ... pattern. ... In most cases small ... Diagnosis #Radiology #Pulmonary ... #Nodular #Pattern
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
Chronic hypersensitivity pneumonitis The key findings in chronic hypersensitivity pneumonitis are: Mosaic pattern with areas of ground-glass atenuation
pneumonitis The key findings ... pneumonitis are: Mosaic pattern ... in a mid zone distribution ... The HRCT shows a ... mosaic 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 ... 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 ... and perihilar distribution ... CTChest #Reticular #Pattern ... #Comparison #Table
Differential diagnosis The table summarizes the most common diseases, that present with consolidation. Chronic diseases are indicated in
to look at the pattern ... of distribution ... more than one pattern ... lobar pneumonia caused ... #CXR #Consolidation
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 ... there additional findings ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm
Septal thickening Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... a predominant finding ... differential diagnosis (Table ... Nodular or irregular ... #HRCT #CTChest
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