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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#Clinical #Radiology #CXR #CTChest #Longstanding #Sarcoidosis #Fibrosis #Conglomerate #Nodules #RadiologyAssistant
#Clinical #Radiology ... #CXR #CTChest # ... #Sarcoidosis #Fibrosis ... Conglomerate #Nodules #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
Fibrosis and parenchymal ... The HRCT shows a ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
The HRCT shows focal ... the appropriate clinical ... #Clinical #Radiology ... #CXR #CTChest # ... FingerInGlove #Sign #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
this case the chest ... In many cases a HRCT ... #Clinical #Radiology ... #CXR #Sarcoidosis ... #Pattern #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
result of massive fibrosis ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern ... Comparison #Table #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern ... Comparison #Table #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
end-stage with massive fibrosis ... consolidation #Clinical ... #Radiology #HRCT ... #CTChest #HighAttenuation ... Comparison #Table #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... on HRCT Most of ... patterns: reticular, nodular ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
in differential diagnosis ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #RadiologyAssistant