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 ... lung disease comes ... low attenuation (table ... UIP can be suspected ... #Diagnosis #Radiology
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
The idiopathic interstitial ... indicates unknown cause ... listed in the table ... findings of NSIP, UIP ... #Diagnosis #Radiology
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
to confirm the diagnosis ... pattern at the lung ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Interstitial #
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... preference at the lung ... bases. ... #Clinical #Radiology ... #CXR #UIP #CTChest
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
or tumor cells (Table ... fibrosis as in UIP ... , NSIP and long ... #Diagnosis #Radiology ... Consolidation #Differential
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
visible wall #CXR ... #Lucency #Differential ... #Table #CavitaryLesion ... #Pulmonary #Diagnosis ... #Radiology
On the left a chest film of a patient with UIP due to IPF.
The findings on
changes in the basal lung ... reticular densities caused ... #Clinical #Radiology ... #CXR #CTChest # ... #Usual #Interstitial
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... this is nodular interstitial ... lung disease, that ... #Clinical #Diagnosis ... #Radiology #CXR
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
dependent part of the lungs ... be high in the differential ... diagnostic list ... #Clinical #Radiology ... #CTChest #CHF #
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
densities in both lungs ... multiple ill-defined masses ... dealing with the differential ... #Clinical #Radiology ... #CXR #Peripheral