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 ... there are four patterns ... : reticular, nodular ... seen and in many cases ... #Pattern #Differential
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... opacities - Fine Nodular ... Nodule or mass ... - Multiple Masses ... Consolidation #Patterns
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... are visible, the pattern ... #Pattern #MultipleNodules ... #Nodules #Differential
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
In many cases a ... demonstrated a fine nodular ... #Sarcoidosis #Nodular ... #Interstitial # ... Pattern #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
diagnosis in the nodular ... pattern. ... peribronchovascular interstitium ... NodularPattern #Nodular ... #Pattern #Distribution
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Here a typical case ... When these small nodules ... NodularInterstitial #Nodular ... #Interstitial # ... Pattern #Sarcoidosis
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Diagnosis Algorithm ... prognosis β€’ Nodular ... β€’ Classic - Nodular ... involvement, irregular pattern ... #algorithm
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung interstitium ... cells results in a pattern ... has a limited differential ... Nodular or irregular ... SeptalThickening #Differential
Key findings in alveolar proteinosis
- Crazy paving pattern: reticular pattern superimposed on ground glass opacification.
- Opacifications
- Crazy paving pattern ... : reticular pattern ... interlobular and intra-lobular ... This is caused by ... transported to the interstitium
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
GPA, pulmonary nodules ... vasculitis, ulcers, nodules ... mononeuritis multiplex WORKUP ... Goodpasture's cause ... β€’ IF staining patterns