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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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 ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... #Differential # ... RadiologyAssistant
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
and cardiogenic pulmonary ... pneumonia (COP), chronic ... #HRCT #ChestCT ... #Differential #Table ... Central #Peripheral #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
patterns: reticular, nodular ... low attenuation (table ... histiocytosis or honeycombing ... Diagnosis #Radiology #Pulmonary ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... #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
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
histologic pattern of pulmonary ... On a chest X-ray ... A HRCT is needed ... attributed to chronic ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... HP (right) Differential ... show very similar HRCT ... Diagnosis #Radiology #CTChest ... Fibrosis #Mimic #ILD #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
diagnosis (Table ... in interstitial pulmonary ... Nodular or irregular ... #HRCT #CTChest ... #RadiologyAssistant
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy.
The radiographic
bronchiectasis and subtle honeycombing ... like idiopathic pulmonary ... or fibrosis in chronic ... disease in the differential ... Clinical #Radiology #CTChest