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 ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
COVID-19 POCUS

96 yrs old, discharged 3 wks ago for CAP, treated with amox/clav then cefixime. Returns
96 yrs old, discharged ... CXR with consolidation ... bilateral pattern ... Test done: positive ... #Clinical #Lung
β–Ί
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... to confirm the diagnosis ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Honeycombing #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
have specific patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... CTChest #Nodular #Pattern ... Comparison #Table #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
or multifocal ill-defined ... the amount of air ... #Diagnosis #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
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... in the proper clinical ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
maybe there is an air-bronchogram ... the differential diagnosis ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant