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 ... nodular, high and low ... attenuation (table ... Diagnosis #Radiology #Pulmonary ... #Differential #
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... diseases with a low ... on the basis of HRCT ... Diagnosis #Radiology #Pulmonary ... LowAttenuation #Differential
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
diastolic filling patterns ... velocities, PVF: pulmonary ... atrium, PASP: pulmonary ... Dysfunction #Grading #Classification ... Grades #Criteria #Table
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... MultipleNodules #Nodules #Differential
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Shock - Differential ... Diagnosis by Classification ... obstruction to blood flow ... ) - Massive pulmonary ... #Table #CriticalCare
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Diagnosis Algorithm ... involvement, irregular pattern ... B-Cell ~90% β€’ Low ... Lymphoproliferative #Disorders #Classification ... #algorithm
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
The table summarizes ... to look at the pattern ... Now it is obvious ... more than one pattern ... Diagnosis #Radiology #Pulmonary
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... the dominant HR-pattern ... consolidation) low ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... has a limited differential ... diagnosis (Table ... in interstitial pulmonary ... #HRCT #CTChest