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 ... in interstitial lung ... there are four patterns ... low attenuation (table ... Diagnosis #Radiology #Pulmonary
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Miliary Pattern ... throughout the lungs ... PulmPEEPs #Miliary #Pattern ... #CXR #clinical ... #CT
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
Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
Etiologies of pulmonary ... patterns. ... #Patterns #Pulmonary ... #Lung #Infections ... ComputedTomography #Differential
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #CTChest #Nodular ... #Pattern #NodularPattern ... #Differential # ... Comparison #Table
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: β€’ CT ... hemorrhage (DAH) β€’ Diffuse ... sparing of the lung ... CT ... β€’ IF staining patterns
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... LCDD, SS Cyst pattern ... Disease #DCLD #pulmonary ... #Algorithm #Diagnosis ... #differential
Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
is a fibrotic lung ... Calcification (seen in CT ... typical eggshell pattern ... Fibrosis #Silicosis #clinical ... XRay #labeled #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 ... with interstitial lung ... diagnosis (Table ... #HRCT #CTChest
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
lesion has been stable ... with a benign pattern ... mm depends on clinical ... Management #Radiology #CTChest ... Society #Followup #Pulmonary