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 ... , nodular, high ... seen and in many cases ... UIP can be suspected ... #Diagnosis #Radiology
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
A HRCT is needed ... to confirm the diagnosis ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Interstitial #
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
a reticular interstitial ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Reticular #Interstitial
Here are the most common examples of these four patterns on a chest x-ray (click image
- Reticular interstitial ... opacities - Fine Nodular ... Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
HRCT is needed to ... The HRCT - not shown ... #Clinical #Radiology ... #CXR #Sarcoidosis ... #Nodular #Interstitial
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Cystic versus Reticular ... In many of such cases ... a HRCT will give ... #Clinical #Radiology ... Cystic #Interstitial
On the left a chest film of a patient with UIP due to IPF.
The findings on
densities caused ... #Clinical #Radiology ... #CXR #CTChest # ... #Usual #Interstitial ... #Pneumonitis #Reticular
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... chronic illness, clinical ... interstitial lung ... #Clinical #Diagnosis ... #Radiology #CXR
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... aswell as the HRCT ... The HRCT characteristics ... suggestive of the diagnosis ... #Clinical #Radiology
One and a Half Syndrome on Physical Exam

This 28 year old patient presented to clinic with
on the follow up ... paramedian pontine reticular ... the hospital, diagnosed ... with MS, and started ... ophthalmology #neurology
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