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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Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Pneumonia β€’ (UIP ... Lymphangioleiomyomatosis (LAM), β€’ Pulmonary ... leaking out of pulmonary ... as nodules Hypersensitivity
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... - Solitary Pulmonary ... Masses Atelectasis ... Diagnosis #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... findings of NSIP, UIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... ILD #Findings #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Thickening of the interstitium ... lung disease (i.e ... predominance: UIP ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
lung disease comes ... patterns: reticular, nodular ... UIP can be suspected ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
On the left three different patients with lung cysts.
From left to right: Lymphangiomyomatosis, LIP and Langerhans
patients with lung ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #LAM ... #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
fibrosis as in UIP ... , NSIP and long ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
bronchovascular interstitium ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... Differential #Algorithm #RadiologyAssistant