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 ... On a Chest X-Ray ... detected on a chest ... #Pulmonary #CXR ... #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 ... Check apices for pneumothorax ... radiologistpage #Chest ... #radiology #diagnosis ... #pulmonary
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
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 ... Masses Atelectasis #Diagnosis ... 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 ... 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 ... assume that the pneumothorax ... is a possible diagnosis ... airways leading to pulmonary ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Absent Lung Sliding in Pneumothorax on Lung POCUS

24yo F pleuritic chest pain.  No history of
on Lung POCUS ... 24yo F pleuritic chest ... What’s the diagnosis ... (pneumothorax) ... #Lung #POCUS #pulmonary
β–Ί
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Kerley B lines on chest ... Nodular or irregular ... #Pulmonary #HRCT ... #CTChest #Reticular ... #Differential #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
and other non-pulmonary ... between these chest ... Pulmonary hemorrhage ... #Clinical #Diagnosis ... Consolidation #Causes #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest ... Algorithm #ILD #RadiologyAssistant