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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Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... Consolidation - Lobar ... Interstitial - Reticular ... Clinical #Radiology #CXR ... Consolidation #Patterns #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
thickening in the reticular ... Radiology #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis: ill ... Clinical #Radiology #HRCT ... #CTChest #Nodular ... Pattern #Comparison #Table ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... , nodular, high ... low attenuation (table ... Interstitial #Pattern #Differential ... #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
The HRCT shows a ... and intralobular reticular ... Clinical #Radiology #CXR ... #CTChest #Hypersensitivity ... Chronic #Fibrosis #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
bronchiolitis: ill ... Radiology #Pulmonary #CTChest ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
substances resulting in lobar ... or multifocal ill-defined ... fine or coarse reticular ... Diagnosis #Radiology #CXR ... Consolidation #Patterns #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... The table summarizes ... - Lobar or focal ... Radiology #Pulmonary #CXR ... #Table #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
dominant HR-pattern: reticular ... nodular high attenuation ... #CTChest #Interpretation ... #Algorithm #ILD ... #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
diagnosis (Table ... Nodular or irregular ... Radiology #Pulmonary #HRCT ... #CTChest #Reticular ... #RadiologyAssistant