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
in interstitial lung ... there are four patterns ... low attenuation (table ... is interstitial lung ... Diagnosis #Radiology #Pulmonary
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 #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... Diagnosis #Radiology #Pulmonary ... HRCT #CTChest #NodularPattern ... #Nodular #Pattern
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... - Emphysema - Lung ... low attenuation pattern ... Diagnosis #Radiology #Pulmonary ... Differential #Diagram #Comparison
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... structures of the lung ... #HRCT #NodularPattern ... #Nodular #Pattern ... Perilymphatic #Comparison
Capnography
Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
monitor cardiac & pulmonary ... Specific capnograph patterns ... intubation, single lung ... #Capnography #interpretation ... #waveforms #patterns
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... listed in the table ... have specific patterns ... realise, that these patterns ... Diagnosis #Radiology #Pulmonary
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
zero WAVEFORM PATTERNS ... surface - Pattern ... the heart to the lung ... #Capnography #interpretation ... #patterns #diagnosis
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Cardiogenic pulmonary ... Cardiogenic pulmonary ... CTChest #Reticular #Pattern ... #Comparison #Table
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
Basic Interpretation ... structured approach to interpretation ... the dominant HR-pattern ... Diagnosis #Radiology #Pulmonary ... #Algorithm #ILD