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 ... : reticular, nodular ... low attenuation (table ... #Pulmonary #CXR ... Pattern #Differential
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... cells results in a pattern ... diagnosis (Table ... Nodular or irregular ... #Diagnosis #Radiology
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... realise, that these patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest
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 ... in ground glass pattern ... #Pulmonary #CTChest ... #GroundGlass #Differential
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
bronchovascular interstitium ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Nodular #Pattern ... MultipleNodules #Nodules #Differential
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pattern. 1. ... #Pulmonary #CTChest ... #Nodular #Pattern ... NodularPattern #Differential ... #Comparison #Table
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
like idiopathic pulmonary ... and non-specific interstitial ... consider drug-related lung ... disease in the differential ... #CTChest #DrugInduced