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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Here are the most common examples of these four patterns on a chest x-ray (click image
- Diffuse consolidation ... Interstitial - Reticular ... mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Clinical #Radiology #CXR
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On HRCT there are ... pattern on a CXR ... seen and in many cases ... UIP can be suspected ... Diagnosis #Radiology #Pulmonary
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... A HRCT is needed ... a reticular pattern ... HRCT demonstrated ... #UIP #Reticular
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 ... #UIP #CTChest #
Pulmonary Tuberculosis - Patterns of Involvement
 β€’ Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... - Patterns of Involvement ... Innumerable, bilateral, diffusely ... empyema - Air-fluid ... clinical #radiology #CXR
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
Whenever you see an area of increased density within the lung, it must be the result
. 1- Consolidation ... resulting in lobar, diffuse ... fine or coarse reticular ... the amount of air ... Diagnosis #Radiology #CXR
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 ... patchy 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 ... (ground-glass, consolidation ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm