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 ... interstitial lung disease ... low attenuation (table ... Diagnosis #Radiology #Pulmonary ... #Differential #
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... the nodules are diffuse ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... MultipleNodules #Nodules #Differential
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Honeycombing Most diseases ... on the basis of HRCT ... Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation ... #Differential #
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Miliary Pattern ... mm) nodules β€’ Diffusely ... hematogenous spread of a disease ... #differential # ... diagnosis #pulmonary
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
The table summarizes ... to look at the pattern ... more than one pattern ... Diagnosis #Radiology #Pulmonary ... #Table #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... specific patterns ... morphologic findings on HRCT ... Diagnosis #Radiology #Pulmonary ... #CTChest #Idiopathic
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... Diagnosis #Radiology #Pulmonary ... #CTChest #GGO # ... #GroundGlass #Differential
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
the left some diseases ... Diagnosis #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential # ... Comparison #Table
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... Inflammatory eye disease ... mononeuritis multiplex WORKUP ... hemorrhage (DAH) β€’ Diffuse ... β€’ IF staining patterns
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... interstitial lung disease ... diagnosis (Table ... in interstitial pulmonary ... #HRCT #CTChest