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
in interstitial lung ... low attenuation (table ... findings. ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... on the basis of HRCT ... findings. ... #Diagnosis #Radiology ... Emphysema #SignetRing #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
case the chest x-ray ... shows subtle findings ... In many cases a HRCT ... #Clinical #Radiology ... Interstitial #Pattern #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Table ... #Upper #Lower #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... listed in the table ... on HRCT and histology ... #Diagnosis #Radiology ... #RadiologyAssistant
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
highly significant finding ... the cases the lung ... findings of fibrosis ... #Clinical #Radiology ... GroundGlass #GGO #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
Size
A solitary pulmonary nodule (SPN) is defined as a single intraparenchymal lesion less than 3 cm
high risk for lung ... Their findings are ... listed in the table ... #EBM #Radiology ... MalignancyRate #Rate #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
edema: incidental finding ... in HRCT, smooth ... #Clinical #Radiology ... Pattern #Comparison #Table ... #RadiologyAssistant
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember β€œMUGR” to recall where
Splint: Posterior long ... β€’ If stable ... repair MH/CCF ... Forearm #Ulnar #Radiology ... #XRay #Diagnosis