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
On HRCT there are ... low attenuation (table ... detected on a chest ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
Lobar consolidation
The most common presentation of consolidation is lobar or segmental.
The most common diagnosis is lobar
pneumonia. ... The table lists ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
Lobar pneumonia ... On the chest x-ray ... #Clinical #Radiology ... #RUL #Lobar #Pneumonia ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... to look at the pattern ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
High Attenuation pattern ... consolidation #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Cryptogenic organizing pneumonia ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... Consolidation - Lobar ... Diagnosis #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
this case the chest ... #Clinical #Radiology ... #CXR #Sarcoidosis ... #Interstitial #Pattern ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... morphologic findings on HRCT ... #Diagnosis #Radiology ... ILD #Findings #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... A HRCT is needed ... HRCT demonstrated ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant