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
patterns: reticular, nodular ... On a Chest X-Ray ... detected on a chest ... Diagnosis #Radiology #Pulmonary ... #Differential #RadiologyAssistant
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... Checklist Outline ... Check apices for pneumothorax ... radiologistpage #Chest ... radiology #diagnosis #pulmonary
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 ... The HRCT - not shown ... #Sarcoidosis #Nodular ... Interstitial #Pattern #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
nodules and the nodular ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... Perilymphatic #Nodular ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... opacities - Fine Nodular ... mass - Solitary Pulmonary ... Consolidation #Patterns #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... NodularPattern #Nodular ... Differential #Algorithm #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... treated for a prior pneumothorax ... assume that the pneumothorax ... airways leading to pulmonary ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Pulmonary Tuberculosis - Patterns of Involvement
 β€’ Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... Inhomogeneous patchy nodular ... level in hydro-pneumothorax ... Pal @drdevrad #Pulmonary ... #TB #Patterns #chest
This patient presented with acute dyspnoe and a normal chest film (not shown).
The HRCT at presentation
dyspnoe and a normal chest ... (left) shows lobular ... A control HRCT ten ... Clinical #Radiology #CTChest ... HypersensitivityPneumonitis #Resolution #RadiologyAssistant
Absent Lung Sliding in Pneumothorax on Lung POCUS

24yo F pleuritic chest pain.  No history of
Lung Sliding in Pneumothorax ... on Lung POCUS ... 24yo F pleuritic chest ... (pneumothorax) ... #Lung #POCUS #pulmonary
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