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
lung disease comes ... there are four patterns ... low attenuation (table ... lung disease and ... Diagnosis #Radiology #Pulmonary
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... bronchovascular interstitium ... HRCT #CTChest #NodularPattern ... #Nodular #Pattern
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... CTChest #Nodular #Pattern ... #NodularPattern
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
The idiopathic interstitial ... listed in the table ... have specific patterns ... realise, that these patterns ... Diagnosis #Radiology #Pulmonary
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... peribronchovascular interstitium ... structures of the lung ... #HRCT #NodularPattern ... #Nodular #Pattern
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... of pulmonary fibrosis ... as a reticular pattern ... This pattern was ... #Clinical #Radiology
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 ... lung disease, it ... differential diagnosis (Table ... pulmonary edema
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... peribronchovascular interstitium ... #Clinical #Radiology ... CTChest #Reticular #Pattern ... #Comparison #Table
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
like idiopathic pulmonary ... and non-specific interstitial ... patients with a UIP pattern ... or NSIP pattern ... #Clinical #Radiology