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
lung disease comes ... four patterns: ... pattern on a CXR ... Diagnosis #Radiology #Pulmonary ... #CXR #Interstitial
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... at the lung bases ... a reticular pattern ... at the lung bases ... #Interstitial #
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Diffuse ... - Reticular interstitial ... mass - Solitary Pulmonary ... Consolidation #Patterns
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
a reticular interstitial ... pattern with a ... preference at the lung ... The HRCT demonstrates ... Pattern #Honeycombing
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
pattern or a cystic ... pattern. ... pattern. ... a HRCT will give ... CTChest #Cystic #Interstitial
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
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... resulting in lobar, diffuse ... opacities. 2- Interstitial ... fine or coarse reticular ... Consolidation #Patterns
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns ... Diagnosis #Radiology #Pulmonary
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... cells results in a pattern ... lung disease, it ... pulmonary edema ... #HRCT #CTChest
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... peribronchovascular interstitium ... structures of the lung ... Diagnosis #Radiology #Pulmonary ... #Nodular #Pattern