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: ... low attenuation (table ... common pattern ... 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 ... as a reticular pattern ... a reticular pattern ... This pattern was ... #Interstitial #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
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Clinical #Radiology #CXR ... Consolidation #Patterns
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
reticular interstitial pattern ... preference at the lung bases ... The HRCT demonstrates ... #UIP #CTChest # ... #Interstitial #Pattern
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
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... the dominant HR-pattern ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Beginner's Guide to End-Tital Capnography
4 Phases of the Capnoqram
I - Inspiration and expiration Of dead space
II
ventilated alveoli Ill ... of inspiration Uses ... waveform during CPR ... Capnography #Capnogram #Patterns ... Interpretation #pulmonary
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
outcome in many cases ... The histologic pattern ... aswell as the HRCT ... The HRCT characteristics ... AcuteInterstitialPneumonia #ILD
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 ... interpretion of the HRCT ... patient was coughing up ... probably would be pulmonary