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 ... : reticular, nodular ... low attenuation (table ... pattern on a CXR ... #Pulmonary #CXR
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... Interstitial - Reticular ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis ... Clinical #Radiology #CXR
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
thickening in the reticular ... pattern. ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential # ... Comparison #Table
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... On a chest X-ray ... to confirm the diagnosis ... Here a CXR with ... a reticular pattern
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... The table summarizes ... to look at the pattern ... lobar pneumonia caused ... #Pulmonary #CXR
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... of reticular opacities ... diagnosis (Table ... Nodular or irregular ... #CTChest #Reticular
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film is a reticular ... was caused by multiple ... diagnosis in this ... Clinical #Radiology #CXR ... #CTChest #LCH #
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 ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest