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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Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
cardiogenic pulmonary edema ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
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 ... Pattern #Comparison #Table ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... #Diagnosis #Radiology ... Interstitial #Pattern #Differential ... #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
Is it pus, edema ... or tumor cells (Table ... #Diagnosis #Radiology ... Consolidation #Differential ... #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
spaces with pus, edema ... resolution of the HRCT ... bronchiolitis #Diagnosis #Radiology ... #GroundGlass #Differential ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... morphologic findings on HRCT ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
bronchiolitis: ill ... Clinical #Diagnosis #Radiology ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... The table summarizes ... to think of the differential ... #Diagnosis #Radiology ... #Table #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
incidental finding in HRCT ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant