Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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clinical diagnosis hrct pulmonary comparison cxr differential ild chronic fibrosis highattenuation hypersensitivity hypersensitivitypneumonitis interstitial nodular pneumonitis algorithm alveolarproteinosis carcinomatosis crazypaving
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... low attenuation (table ... based on the x-ray findings ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Sarcoidosis end-stage ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
early nodular stage ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Chronic hypersensitivity pneumonitis The key findings in chronic hypersensitivity pneumonitis are: Mosaic pattern with areas of ground-glass atenuation
pneumonitis The key findings ... and intralobular reticular ... #Clinical #Radiology ... #CXR #CTChest # ... Chronic #Fibrosis #RadiologyAssistant
High Attenuation pattern 1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity. 2. Sarcoid end-stage
Sarcoid end-stage ... consolidation #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Lymphangitis carcinomatosis also produces a reticular pattern. It is best appreciated on HRCT-images. #Clinical #Radiology #CTChest #Lymphangitic
also produces a reticular ... pattern. ... #Clinical #Radiology ... #CTChest #Lymphangitic ... ReticularInterstitial #RadiologyAssistant
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... edema: incidental finding ... #HRCT #CTChest ... #Reticular #Pattern ... #Comparison #Table
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
early nodular stage ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Comparison #Table ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
listed in the table ... have specific patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #RadiologyAssistant
Septal thickening Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... a predominant finding ... differential diagnosis (Table ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
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