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 ... in interstitial lung ... low attenuation (table ... Diagnosis #Radiology #Pulmonary ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... #HRCT #ChestCT ... #Differential #Table ... #Upper #Lower #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... findings. ... Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation ... #Differential #
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... on HRCT and histology ... Diagnosis #Radiology #Pulmonary ... #CTChest #Idiopathic ... #Findings #RadiologyAssistant
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
we describe a chest ... visible wall #CXR ... #Lucency #Differential ... #Table #CavitaryLesion ... Lung #Pulmonary
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... a predominant finding ... diagnosis (Table ... #HRCT #CTChest ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... show very similar HRCT ... findings ... throughout the whole lung ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... there is a broad differential ... interpretion of the HRCT ... Clinical #Radiology #CTChest ... #RadiologyAssistant
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
Incidental Finding ... Oleothorax - A chest ... The differential ... treatment for pulmonary ... PCC #Radiology #CXR
Increased pulmonary venous pressure is related to the pulmonary capillary wedge pressure (PCWP) and can be
film (Table). ... chronic obstructive lung ... Radiology #CHF #CXR ... #Stages #Findings ... #Signs #RadiologyAssistant