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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Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 β€’ Hypersensitivity pneumonitis, Farmer's lung, Bird
Interstitial Lung ... ILD caused by inhalation ... pneumonitis β€’ Medication-induced ... lung disease (RB-ILD ... #causes
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... Diagnosis #Radiology #Pulmonary ... #CTChest #Idiopathic ... IdiopathicInterstitialPneumonia #ILD
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... consolidation - Multifocal ill-defined ... mass - Solitary Pulmonary ... Nodule - Multiple Masses ... Atelectasis #Diagnosis #Clinical
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
lung disease comes ... low attenuation (table ... lung disease and ... seen and in many cases ... Diagnosis #Radiology #Pulmonary
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... In daily clinical ... with old fims can ... #Clinical #Radiology
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... between these chest ... Pulmonary hemorrhage ... this is nodular interstitial ... lung disease, that
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 # ... Pneumonitis #Reticular #ILD
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
Lung infarction ... In this case a lung ... Here we see an old ... #Clinical #Radiology ... #CXR #CTChest #
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
histologic pattern of pulmonary ... On a chest X-ray ... pattern at the lung ... #Clinical #Radiology ... UIP #Reticular #Interstitial
Palpable Skin Crepitus on Physical Exam

Notice these air bubbles under the skin. An 86-year-old woman with
An 86-year-old woman ... and spaces can cause ... and perivascular interstitium ... under the skin as long ... #PhysicalExam #Clinical
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