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 ... pattern on a CXR ... in many cases UIP ... RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
fibrosis. ... a reticular pattern ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Honeycombing #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
shows a mosaic pattern ... and intralobular reticular ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... pattern with a ... #Clinical #Radiology ... #CXR #UIP #CTChest ... TractionBronchiectasis #RadiologyAssistant
Gynecomastia - Differential Diagnosis a
nd Workup Algorithm
Gynecomastia is common in clinical practice, affecting ~50% of males
Gynecomastia - Differential ... Diagnosis a nd Workup ... is common in clinical ... in puberty and up ... Labs: TSH, Cr, LFTs
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
represents the second reticular ... pattern recognizable ... composed of dense fibrous ... #Clinical #Radiology ... UsualInterstitialPneumonia #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
volume loss and fibrotic ... #Clinical #Radiology ... #CXR #CTChest # ... #Pneumonitis #Reticular ... #ILD #RadiologyAssistant
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
and some mosaic pattern ... Reticular abnormalities ... and signs of fibrosis ... cessation of smoking #Clinical ... DesquamativeInterstitialPneumonia #ILD #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
interstitium by fluid, fibrous ... cells results in a pattern ... of reticular opacities ... diagnosis (Table ... #RadiologyAssistant
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
patients with a UIP ... pattern or NSIP ... disease in the differential ... #Clinical #Radiology ... #RadiologyAssistant