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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Chest XRay Interstitial Pattern - Differential Algorithm #Diagnosis #Radiology #Pulmonary #CXR #Interstitial #Pattern #Differential #Algorithm #RadiologyAssistant
Chest XRay Interstitial ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Interstitial # ... #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
spaces with pus, edema ... Thickening of the interstitium ... the alveoli) or interstitial ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
edema: bilateral ... bronchovascular interstitium ... edema. ... #Clinical #Radiology ... Comparison #Table #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... bronchovascular interstitium ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
Pulmonary hemorrhage ... edema - filling ... this is nodular interstitial ... Clinical #Diagnosis #Radiology ... Consolidation #Causes #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung interstitium ... pulmonary edema ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #RadiologyAssistant
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
with alveolar edema ... resolved after treatment ... #Clinical #Radiology ... #Edema #AlveolarEdema ... #RadiologyAssistant
Based on the CXR that you just saw, you could have made the diagnosis of congestive
The pulmonary vessels ... indicating increased pulmonary ... edema. ... #Clinical #Radiology ... #Edema #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
edema: incidental ... peribronchovascular interstitium ... edema. ... #Clinical #Radiology ... Comparison #Table #RadiologyAssistant
Congestive heart failure
The findings are:
 - bilateral perihilar consolidation with air bronchograms and ill-defined borders
 -
size - subtle interstitial ... are dealing with pulmonary ... edema due to heart ... #Clinical #Radiology ... #CXR #CHF #RadiologyAssistant