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 ... disease comes from ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Honeycombing Most diseases ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... combinations of fibrosis ... listed in the table ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... Smoking related diseases ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
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 ... disease (i.e. fibrosis ... in ground glass pattern ... #Pulmonary #CTChest
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
with airspace disease ... or tumor cells (Table ... Even fibrosis as ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Lung Disease - ... Differential Diagnosis ... Interstitial Pneumonia - fibrosis ... #Causes #Differential
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... A HRCT is needed ... at the lung bases ... HRCT demonstrated ... #Clinical #Radiology
Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
lung disease caused ... With disease progression ... typical eggshell pattern ... Silicosis #clinical #radiology ... XRay #labeled #pulmonary
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
potentially treatable lung ... disease. ... the lung disease ... the ground-glass pattern ... #Clinical #Radiology