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 ... four patterns: ... reticular, nodular ... #Pulmonary #CXR ... RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... opacities - Fine Nodular ... #Radiology #CXR ... Consolidation #Patterns ... #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
nodular septal ... the reticular pattern ... #Pulmonary #HRCT ... #Nodular #Differential ... #RadiologyAssistant
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 ... #Pulmonary #HRCT ... #Nodular #Pattern
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pattern. 1. ... #Clinical #Diagnosis ... #CTChest #Nodular ... #Pattern #NodularPattern ... #Differential #
Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
patterns. ... Varicella–Zoster virus NODULAR ... #Patterns #Pulmonary ... ComputedTomography #Differential ... #Diagnosis #Chest
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... have specific patterns ... realise, that these patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... to look at the pattern ... more than one pattern ... caused by streptococcus ... #Pulmonary #CXR
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Miliary Pattern ... small (1 -4 mm) nodules ... PulmPEEPs #Miliary #Pattern ... diagnosis #pulmonary ... #CT
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... #Radiology #Pulmonary ... #HRCT #CTChest ... #RadiologyAssistant