Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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
lung disease comes ... from HRCT. ... low attenuation (table ... lung disease and ... seen and in many cases
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 โ€ข (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Lung Disease - ... Differential Diagnosis Algorithm ... #ILD #Causes #Differential ... #Diagnosis #Algorithm
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Non specific interstitial ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern ... #Comparison #Table
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
In many cases a ... HRCT is needed to ... The HRCT - not shown ... Sarcoidosis #Nodular #Interstitial ... #Pattern #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
pattern with a ... preference at the lung ... bases. ... The HRCT demonstrates ... #Pattern #Honeycombing
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
particularly at the lung ... A HRCT is needed ... at the lung bases ... HRCT demonstrated ... UIP #Reticular #Interstitial
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
transbronchial lung ... transbronchial lung ... hypersensitivity pneumonitis; HRCT ... tomography; UIPโ€‰=โ€‰usual interstitial ... pulmonary #diagnosis #algorithm
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... are visible, the pattern ... bronchovascular interstitium ... Radiology #Pulmonary #HRCT
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Thickening of the interstitium ... resolution of the HRCT ... the alveoli) or interstitial ... lung disease (i.e ... in ground glass pattern