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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Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis ... : ill defined centrilobular ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in ... multilayered thick-walled cysts ... #CTChest #UIP # ... #Interstitial #Pneumonitis ... #ILD #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... Hypersensitivity pneumonitis ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
pattern of UIP on HRCT ... #Clinical #Radiology ... #CTChest #UIP # ... #Interstitial #Pneumonitis ... #ILD #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... NodularPattern #Differential ... Comparison #Table #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... The cystic pattern ... When the cysts have ... #Diagnosis #Radiology ... #RadiologyAssistant
On the left two different patients with similarl HRCT findings.
The left one is a smoker with
with similarl HRCT ... hypersensitivity pneumonits ... #Clinical #Radiology ... #CTChest #RBILD ... #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... Hypersensitivity pneumonitis ... #Pulmonary #CTChest ... #GroundGlass #Differential ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... Hypersensitivity Pneumonitis ... show very similar HRCT ... #CTChest #UIP # ... #RadiologyAssistant