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 comparison cxr nodular consolidation interstitial reticular algorithm chestct chronic distribution emphysema ggo highattenuation honeycombing hypersensitivitypneumonitis management mimic nodularpattern
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
bronchiolitis (RB-ILD ... edema #Diagnosis ... #HRCT #ChestCT ... #Differential #Table ... #Upper #Lower #RadiologyAssistant
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... #Pulmonary #CXR ... #Differential # ... RadiologyAssistant
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
result of massive fibrosis ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
High Attenuation pattern 1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity. 2. Sarcoid end-stage
end-stage with massive fibrosis ... consolidation #Clinical ... #Radiology #HRCT ... #Comparison #Table ... #RadiologyAssistant
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema. Peripheral distribution is mainly seen in cryptogenic
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution ... Central #Peripheral #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... Emphysema #SignetRing #RadiologyAssistant
Perilymphatic distribution Perilymphatic nodules are most commonly seen in sarcoidosis. They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... the reticular pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
combinations of fibrosis ... listed in the table ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Ground-glass opacity Ground-glass opacity (GGO) represents: - Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary ... #RadiologyAssistant
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