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 ... in interstitial lung ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... findings. ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Diagram #Comparison
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT ... #Differential #Table
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... on HRCT and histology ... vascular diseases (e.g ... #Diagnosis #Radiology ... #Pulmonary #CTChest
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
No pathological findings ... involvement, with β€œwhite lung ... diagnosis of pulmonary ... #Clinical #Radiology ... #CXR #ChestXRay
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
visible wall #CXR ... #Lucency #Differential ... #Table #CavitaryLesion ... #Pulmonary #Diagnosis ... #Radiology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
recent DAN) β€’ EMG ... FINDINGS: β€’ AAV ... sparing of the lung ... of DAH) RENAL FINDINGS ... #diagnosis #management
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... a predominant finding ... diagnosis (Table ... #Diagnosis #Radiology ... #Pulmonary #HRCT
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Incidental Finding ... The differential ... treatment for pulmonary ... Clinical #PCC #Radiology ... #CXR #Oleothorax
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... show very similar HRCT ... findings ... #Radiology #CTChest ... #UIP #Comparison