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 ... is seen in: - UIP ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Table
It is usually easy to recognize the pattern of UIP on HRCT. #Clinical #Radiology #CTChest #UIP
on HRCT. ... #Clinical #Radiology ... UsualInterstitialPneumonitis #Usual ... #Pneumonitis #ILD ... #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in ... #Radiology #CTChest ... #Usual #Interstitial ... #Pneumonitis #ILD ... #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 ... findings of NSIP, UIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
centrilobular emphysema. - Alveolar ... show very similar HRCT ... #Clinical #Diagnosis ... #Radiology #CTChest ... #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Cardiogenic pulmonary ... Alveolar proteinosis ... #Clinical #Radiology ... Pattern #Comparison #Table ... #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
characterized by diffuse alveolar ... aswell as the HRCT ... #Clinical #Radiology ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... and additional clinical ... patient was coughing up ... #Clinical #Radiology ... #RadiologyAssistant
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
cardiomyopathy β€’ Pulmonary ... Clinical β€’ Under-recognized ... May have typical HF ... Delivery β€’ Stable ... Avoid ARBs β€’ ICD
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
lesion has been stable ... mm depends on clinical ... #Management #Radiology ... Society #Followup #Pulmonary ... #Nodules #RadiologyAssistant