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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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution ... Central #Peripheral #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution ... #Upper #Lower #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... On a Chest X-Ray ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... on HRCT and histology ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #RadiologyAssistant
This patient presented with acute dyspnoe and a normal chest film (not shown).
The HRCT at presentation
a normal chest ... A control HRCT ten ... The findings were ... #Clinical #Radiology ... HypersensitivityPneumonitis #Resolution #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
edema: incidental finding ... gravitational and ... #Clinical #Radiology ... Pattern #Comparison #Table ... #RadiologyAssistant
Size
A solitary pulmonary nodule (SPN) is defined as a single intraparenchymal lesion less than 3 cm
Size A solitary pulmonary ... Their findings are ... listed in the table ... #EBM #Radiology ... MalignancyRate #Rate #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
findings. ... between these chest ... Pulmonary hemorrhage ... Clinical #Diagnosis #Radiology ... Consolidation #Causes #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
a predominant finding ... differential diagnosis (Table ... Kerley B lines on chest ... #Diagnosis #Radiology ... #Pulmonary #HRCT
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
RB-ILD with subtle HRCT-findings ... interpretion of the HRCT ... probably would be pulmonary ... #Clinical #Radiology ... RespiratoryBronchiolitis #ILD #RadiologyAssistant