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 ... low attenuation (table ... seen and in many cases ... Diagnosis #Radiology #Pulmonary ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... - Aspiration - Pulmonary ... #HRCT #ChestCT ... #Differential #Table ... #Upper #Lower #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... morphologic findings on HRCT ... #CTChest #Idiopathic ... #Findings #RadiologyAssistant
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 ... Consolidation #Patterns #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... Diagnosis #Radiology #Pulmonary ... #CTChest #GGO # ... #GroundGlass #Differential ... #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
has a limited differential ... diagnosis (Table ... pulmonary edema ... #HRCT #CTChest ... #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
or tumor cells (Table ... Diagnosis #Radiology #Pulmonary ... #CTChest #Consolidation ... #Differential # ... RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
bronchovascular interstitium ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Diagnosis #Radiology #Pulmonary ... #CTChest #Nodular ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... bronchovascular interstitium ... #CTChest #LymphangiticCarcinomatosis ... #Comparison #Table ... #RadiologyAssistant