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
in interstitial lung ... there are four patterns ... low attenuation (table ... is interstitial lung ... Diagnosis #Radiology #Pulmonary
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 #Idiopathic
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Diagnosis #Radiology #Pulmonary ... #CTChest #Nodular ... #Pattern #NodularPattern ... Differential #Comparison #Table
Capnography
Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
monitor cardiac & pulmonary ... Specific capnograph patterns ... intubation, single lung ... #Capnography #interpretation ... #waveforms #patterns
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
Basic Interpretation ... the dominant HR-pattern ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... #Algorithm #ILD
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
zero WAVEFORM PATTERNS ... surface - Pattern ... the heart to the lung ... #Capnography #interpretation ... #patterns #diagnosis
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... LCDD, SS Cyst pattern ... presentations - ILD ... Disease #DCLD #pulmonary ... #Algorithm #Diagnosis
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 ... with interstitial lung ... differential diagnosis (Table ... #HRCT #CTChest
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... mandatory for the interpretion ... probably would be pulmonary ... would expect more pulmonary ... Clinical #Radiology #CTChest
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
EMHighAK) and Brit Long ... Case A 39-year-old ... radiograph pattern ... defaulting to a normal interpretation ... #Lung #Pulmonary