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 ... pattern on a CXR ... Diagnosis #Radiology #Pulmonary ... #Pattern #Differential
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... of pulmonary fibrosis ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
pattern with a ... preference at the lung bases ... The HRCT demonstrates ... #Clinical #Radiology ... #Pattern #Honeycombing
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... Interstitial - Reticular ... mass - Solitary Pulmonary ... #Radiology #CXR ... Consolidation #Patterns
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 ... #Clinical #Radiology
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Cardiogenic pulmonary ... #Clinical #Radiology ... #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 ... more than one pattern ... lobar pneumonia caused ... Diagnosis #Radiology #Pulmonary ... #CXR #Consolidation
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... of reticular opacities ... diagnosis (Table ... #HRCT #CTChest ... #Differential #
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
chest film is a reticular ... patern and that's ... recognized that this pattern ... was caused by multiple ... #CXR #CTChest #