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
On HRCT there are ... low attenuation (table ... On a Chest X-Ray ... #Diagnosis #Radiology ... #Pulmonary #CXR
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Non specific interstitial ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... morphologic findings on HRCT ... vascular diseases (e.g ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Thickening of the interstitium ... resolution of the HRCT ... the alveoli) or interstitial ... bronchiolitis #Diagnosis #Radiology ... #Pulmonary #CTChest
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
differential diagnosis (Table ... pulmonary edema ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
bronchovascular interstitium ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Cardiogenic pulmonary ... peribronchovascular interstitium ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Cardiogenic pulmonary ... bronchovascular interstitium ... #Clinical #Radiology ... #Pulmonary #CTChest ... Differential #Comparison #Table
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
histologic pattern of pulmonary ... On a chest X-ray ... A HRCT is needed ... #Clinical #Radiology ... UIP #Reticular #Interstitial
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
Previous normal chest ... x-ray (left) and CHF ... diameter of the pulmonary ... the accentuated interstitium ... #Clinical #Radiology