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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Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
pneumonitis are: Mosaic pattern ... shows a mosaic pattern ... #Clinical #Radiology ... #CXR #CTChest # ... #Fibrosis #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
Chronic eosinophilic ... end-stage with massive fibrosis ... consolidation #Clinical ... #Radiology #HRCT ... Comparison #Table #RadiologyAssistant
Cicacitration atelectasis
Atelectasis can be the result of fibrosis of lungtissue.
This is seen after radiotherapy and in
the result of fibrosis ... radiotherapy and in chronic ... #Clinical #Radiology ... #CXR #Radiation ... #Fibrosis #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... Consolidation #Patterns ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
to look at the pattern ... more than one pattern ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Differential #Table #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... Here a CXR with ... attributed to chronic ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
COVID-19 POCUS

96 yrs old, discharged 3 wks ago for CAP, treated with amox/clav then cefixime. Returns
POCUS 96 yrs old ... CXR with consolidation ... bilateral pattern ... Test done: positive ... COVID19 #POCUS #Clinical
β–Ί
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Subacute stage: - RB-ILD ... In chronic HP fibrotic ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Mimic #ILD #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
x-ray there is an ill-defined ... list of causes of chronic ... #Clinical #Radiology ... #CXR #AirBronchogram ... Lobar #Pneumonia #RadiologyAssistant
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
There is fibrosis ... diagnosis includes chronic ... #Clinical #Radiology ... #CXR #Lateral # ... #RadiologyAssistant