Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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radiology ctchest diagnosis differential clinical comparison algorithm cxr highattenuation ild interstitial reticular chestct diffuse distribution findings idiopathic idiopathicinterstitialpneumonia interpretation lobar
High Attenuation pattern 1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity. 2. Sarcoid end-stage
High Attenuation pattern ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern ... #Comparison #Table ... #RadiologyAssistant
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema. Peripheral distribution is mainly seen in cryptogenic
Central distribution ... and cardiogenic pulmonary ... #HRCT #ChestCT ... #Differential #Table ... #Peripheral #RadiologyAssistant
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Sarcoidosis end-stage: consolidation ... Clinical #Radiology #HRCT ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
disease comes from HRCT ... On HRCT there are ... low attenuation (table ... Diagnosis #Radiology #Pulmonary ... #Differential #RadiologyAssistant
Differential diagnosis The table summarizes the most common diseases, that present with consolidation. Chronic diseases are indicated in
diagnosis The table ... to look at the pattern ... more than one pattern ... Diagnosis #Radiology #Pulmonary ... #RadiologyAssistant
Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look
Algorithm for nodular pattern ... nodules along the central ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... Differential #Algorithm #RadiologyAssistant
Basic Interpretation A structured approach to interpretation of HRCT involves the following questions: What is the dominant HR-pattern: reticular nodular high
the dominant HR-pattern ... (ground-glass, consolidation ... lower zone or a central ... Diagnosis #Radiology #Pulmonary ... Algorithm #ILD #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
listed in the table ... have specific patterns ... morphologic findings on HRCT ... Diagnosis #Radiology #Pulmonary ... ILD #Findings #RadiologyAssistant
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... Cardiogenic pulmonary ... incidental finding in HRCT ... #Comparison #Table ... #RadiologyAssistant
Septal thickening Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... differential diagnosis (Table ... in interstitial pulmonary ... #HRCT #CTChest ... #Differential #RadiologyAssistant
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