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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Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
HRCT findings in ... carcinoma, the diagnosis ... #Clinical #Radiology ... #CTChest #COP # ... Organizing #Pneumonia #ILD
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
morphologic findings on HRCT ... of NSIP, UIP, OP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Hypersensitivity pneumonitis: ill ... bronchiolitis: ill ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... consolidation - Multifocal ill-defined ... opacities - Fine Nodular ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology
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 ... Interpretation #Algorithm #ILD
On the left two cases with chronic consolidation. 
There are patchy non-segmental consolidations in a subpleural
The final diagnosis ... pneumonia the HRCT ... look like this #Clinical ... #Radiology #CTChest ... #COP #Cryptogenic
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... broad differential diagnosis ... PCP would be on top ... #Clinical #Radiology ... #CTChest #RBILD
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
) Differential diagnosis ... Subacute stage: - RB-ILD ... show very similar HRCT ... #Clinical #Diagnosis ... #Radiology #CTChest
Alveolar proteinosis is a rare disease characterized by filling of the alveolar spaces with PAS positive
The diagnosis is ... the suggestive HRCT ... 30 and 50 years old ... #Clinical #Radiology ... #CTChest #AlveolarProteinosis