ILD: Organizing the Findings

The best place to start with an ILD case is to figure out the distribution - both in the craniocaudal and axial distribution.
Textbooks I like for chest radiology-
Med students and all residents: Felson’s Principles of Chest Roentgenology
amzn.to/3FhBkvN
Radiology residents: Thoracic Imaging: Pulmonary and Cardiovascular Radiology
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Thoracic radiology fellows: Muller’s Imaging of the Chest: Expert Radiology Series
amzn.to/3ouJ7QY
00:00 Introduction
00:15 Roadmap
00:42 Craniocaudal distribution
01:48 Upper lung disease
03:06 Lower lung disease
04:29 Axial distribution
05:37 Describe the findings
06:30 Pattern vs diagnosis
07:52 Conclusion

[@jijugeorge01]

Thank you. Beautiful presentation again!

[@ShanyarHawrami]

A beautiful and concise approach. Great video.

[@solyoana]

Awesome video, very concise, really informative. Thank you!

[@moclack4058]

Brilliant, can’t wait for next videos

[@gouravpradhan271]

very informative. do keep suggesting good articles really appreciate it. thank u

[@ZakwanQuwatliMD]

Thank you so much for making those videos, as a Pulmonologist I find them very helpful and informative

[@ladetto69]

Excellent presentation. Thank you

[@prudviraj4565]

Crisp and clear..thank u

[@phucuc5541]

This is awsome, wating the next video. Thank you.

[@maryamp3497]

Many many thanks for your very useful videos. I learn alot. 🙏🙏🙏🙏🙏

[@d.shamimaakhter1921]

Thanks for the nice presentation.

[@247rishabh1]

Finally a new video 🎉

[@giaiphauchanoanhinhanh4552]

All your videos are useful and easy to learn, thanks so much. I hope to see some more. I wonder if you could make more videos interpreting cases, I love those.

[@ThoracicRadiology]

Sure, I will try

[@Mede_doctor]

a very good approach. please do a video on chest ultrasound as well

[@kaushikn2038]

Yay, New video 😍😘😘

[@deepakk7067]

Thank you

[@kevin.macallister]

Top tier

[@ameernavawy9387]

excellent approach please if you can make a video for chest x ray for board exam for FRCR pattern thanks .

[@drarundutt6174]

Excellent video. Plz guide which radio book is good for deep learning

[@rolando0572]

great video regards from panama ..I gonna send to my residents

[@ThoracicRadiology]

Thanks so much!

[@hedayatallah3558]

Thnx sir

[@laurawilliams5363]

Thank you. Great information. I have diffuse systemic scleroderma. Never smoked etc but have the ground glass, ILD and emphysema.

[@nooralamansari2460]

Sir can't find the next part

[@believe8464]

I have a question as a patient. would a heart (CTA)also be able to see a lung nodule? I was hoping that same exam can be used to follow up on a lung nodule size that was found at 6mm 5 months ago. I wanted to avoid radiaton again

[@ThoracicRadiology]

A heart exam covers most of the lungs but not all. If the nodule is in the apex (top of the lung), you may not see it on a standard cardiac CTA.

[@believe8464]

@@ThoracicRadiology ok thank you.. I think mine is in the right lower lobe. Do you think I should mention that to the technician so they can look keep an eye for it or is that just standard for them when reviewing a CTA ?

[@ThoracicRadiology]

@@believe8464 it should be standard. Especially if it is being done at the same institution where the prior radiologist report and images are available for comparison. If by chance it is not mentioned, you can call your doc to have them ask the radiologist if the nodule is still there.

[@johnbowneboysvarsitybasket8925]

Where do you have your office. Would love to have my mother evaluated. Or any contact for your office

[@ThoracicRadiology]

hi, probably the best thing to do is find a pulmonologist or center that deals with interstitial lung disease.

[@suepumphrey1559]

Do all ILDs that have fibrosis mean a prognosis of 3-5 years?

[@ThoracicRadiology]

hi, no they don't. there's a big range of diseases that can cause fibrosis in the lungs, some that progress quickly and some that progress slowly. even in the same disease, there can be quite a big variation in the rate of progression.

[@963ag]

What exactly, does " multiple irregular streaky linear densities, fibrosis, atelectasis, or subpleural reticulation" ( in the bulibasal and basal region) mean? I am a 60 year old woman, and have never smoked in my life. But years ago (20s and 30s) I was exposed to asphalt, parrots and chickens, and I had pneumonia twice... as a child and in my 40s. I don't have a cough, just a minor loss of stamina ( I am rather active.) I am waiting to be seen by a pulmonologist, I just saw my PCP, but she didn't say much. I Googled all of these terms, and frankly it freaked me out. What is your opinion, doctor?

[@ThoracicRadiology]

Really hard to say just based on description bc it could be a few different things. Not even sure if it is significant or not. Is this your first scan? Did they say it was stable or new?

[@963ag]

@@ThoracicRadiology This is my first scan, I had not yet seen a pulmonologist, my appointment is next month. This was the results of my first and only CT.

[@nawazpatel2920]

Is there any chance to cure ILD

[@ThoracicRadiology]

It depends on the type of ILD and the underlying cause.