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
there are four patterns ... low attenuation (table ... common pattern ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... LCH: multiple round ... #Clinical #Radiology ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... histiocytosis (LCH ... #Clinical #Radiology ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
with a reticular pattern ... or a cystic pattern ... or a reticular pattern ... #Clinical #Radiology ... #RadiologyAssistant
Interstitial pneumonias
An acute reticular pattern is most frequently caused by interstitial edema due to cardiac heart
acute reticular pattern ... interstitial edema due to cardiac ... #Clinical #Radiology ... #CXR #Acute #Interstitial ... Pneumonia #PJP #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... Atelectasis - collapse ... #Diagnosis #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
atelectasis or lobar collaps ... #Diagnosis #Radiology ... #CXR #Lobar #Collapse ... #Patterns #Comparison ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
to look at the pattern ... more than one pattern ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
is a reticular patern ... recognized that this pattern ... #Clinical #Radiology ... #CXR #CTChest # ... LCH #LangerhansCellHistiocytosis