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
in interstitial lung ... On a Chest X-Ray ... is interstitial lung ... #Diagnosis #Radiology ... #Pulmonary #CXR
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... - Aspiration - Pulmonary ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
this case the chest ... In many cases a HRCT ... The HRCT - not shown ... #Clinical #Radiology ... #CXR #Sarcoidosis
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... or interstitial lung ... bronchiolitis #Diagnosis #Radiology ... #Pulmonary #CTChest ... GroundGlassOpacity #GroundGlass
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... opacities - Fine Nodular ... mass - Solitary Pulmonary ... Diagnosis #Clinical #Radiology ... #CXR #Consolidation
Chest X-Ray Interpretation Checklist
Outline ALL bones
Check soft tissues
Assess heart borders
Is density, behind the heart the same
Chest X-Ray Interpretation ... cervical rib Check lung ... #XRay #CXR #Interpretation ... #Checklist #radiology ... #diagnosis #pulmonary
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
histologic pattern of pulmonary ... On a chest X-ray ... A HRCT is needed ... HRCT demonstrated ... #Clinical #Radiology
Pulmonary Tuberculosis - Patterns of Involvement
 β€’ Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... Inhomogeneous patchy nodular ... #TB #Patterns #chest ... xray #clinical #radiology ... #CXR
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... There is a lung ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... diagnosis in the nodular ... structures of the lung ... #Diagnosis #Radiology ... #Pulmonary #HRCT