Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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radiology radiologyassistant clinical diagnosis pattern comparison differential cxr honeycombing ild lowattenuation nodular reticular uip algorithm nodularpattern carcinomatosis cavitarylesion cavity cyst
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... The cystic pattern ... When the cysts have ... #Diagnosis #Radiology ... #Pulmonary #CXR
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
(LAM): uniform cysts ... bizarre shaped cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
(LAM): regular cysts ... #Clinical #Radiology ... #HRCT #CTChest ... LowAttenuation #Cystic ... Pattern #Comparison #Table
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
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
Emphysema - Lung cysts ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... TractionBronchiectasis #Cysts
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
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
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