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 ... four patterns: ... low attenuation (table ... in many cases UIP ... #Diagnosis #Radiology
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... pattern at the ... This pattern was ... #Clinical #Radiology ... #CXR #UIP #Reticular
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
interstitial pattern ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest ... #Pattern #Honeycombing
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... low attenuation pattern ... on the basis of HRCT ... #Diagnosis #Radiology ... LowAttenuation #Differential
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... thickening in the reticular ... pattern. ... #Diagnosis #Radiology ... #Pulmonary #HRCT
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... NodularPattern #Nodular #Pattern
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Reticular #Pattern ... #Comparison #Table
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
represents the second reticular ... pattern recognizable ... on HRCT. ... low attenuation pattern ... #Clinical #Radiology
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns ... #Diagnosis #Radiology
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... predominance: UIP ... bronchiolitis #Diagnosis #Radiology ... #GroundGlass #Differential