Wow! Such a great video! I'm a night hospitalist and found this extremely useful. Thanks again!
@ThoracicRadiology Жыл бұрын
Thank you!
@LinguistJess9 ай бұрын
Thanks from a potential ILD patient! This was super easy to understand.
@ThoracicRadiology8 ай бұрын
Good luck to you
@spamarthy3 жыл бұрын
Crystal clear explanation of ILD features, extremely useful, thank you so much Dr. Rishi Agarwal 👌👏👍❤️
@mohammedhassan68674 жыл бұрын
Thank you so much, amazing video and succinct too, much more confident calling these now, especially traction bronchiectasis which I struggled with, love the corkscrew description. Where's the follow up video? Keep up the good work Rishi
@ThoracicRadiology4 жыл бұрын
Thanks very much hoped to post a while back but been so busy with regular work. Thanks for your kind feedback.
@張睿恩-o4k11 сағат бұрын
Thank you
@محمدطالب-ج3ع2 ай бұрын
Thank you sir❤
@shadowrule276 Жыл бұрын
You are amazing, I wish you all luck and health good sir♥️
@nunchukgrl23 жыл бұрын
Near the end, some of the findings that you indicated as reticular opacities or bronchiectasis looked more like honeycombing. It's tough to really delineate the difference when there's so much overlap. - Medical Student
@russhellprimus8452 Жыл бұрын
Oookooomooooomom
@thaihealthylung4 жыл бұрын
very good
@MichaelGonzalez-sw6jv2 жыл бұрын
Your videos are great!! Wish I would've came across them earlier
@KhalidFarooq7862 жыл бұрын
excellent presentation
@mariams68763 жыл бұрын
very well explained. Thank you so much!
@LHDSR_TV4 жыл бұрын
Hello there, do you think it could be possible to understand what's going on when we see Ground glass opacity during a Covid-19 infection ? Thank you for your explaination.
@ThoracicRadiology4 жыл бұрын
Hi, I would recommend taking a look at the resources on COVID-19 from the RSNA: www.rsna.org/covid-19 The imaging patterns of COVID-19 can range from nonspecific to mildly specific. However, much more important are the symptoms, prevalence in your community, and lab testing.
@Education-xn8gc8 ай бұрын
Hi Dr Agarwal could you please explain the difference between fine and coarse reticulation? This always confuses me! Thank you!
@faheemullahkhan93593 жыл бұрын
Thank you so much. Amazing
@saurabhpandey35933 жыл бұрын
Thanks sir for the detailed info .👌🏻💐
@963ag5 ай бұрын
What would these CT findings mean: Multiple irregular streaky linear densities, fibrosis, atelectasis, and subpleural reticulation? ( In the bulibasal and basal region.) I just received the CT results ( the CT was taken for another issue - not my lungs) so that specialist couldn't elaborate, I am waiting to see my PCP and a referral to a pulmonologist. I am a 60 year old woman, never smoked, don't have a cough, and this is very alarming to me - trying to figure it out.
@OxFromPhilly2 жыл бұрын
Wow, what a great video! Extremely thorough explanation throughout the whole video, thank you so much for the upload my friend.
@ThoracicRadiology2 жыл бұрын
Glad it was helpful!
@hspak56752 жыл бұрын
Really Great lecture!😁
@franklinargueta98723 жыл бұрын
Superb. Thanks
@udaybapat8872 жыл бұрын
Sir , if a hrct CT reports findings mentioned as..... 1.post kocchs sequel. Seen upper lobe. 2.Signaficcant fibrotic changes noted. 3.traction bronchiectasis noted. If this above mentioned g Findings in CT report are not to be worried or are not good sign.Patient is having short of breath on climbing staircase.
@ThoracicRadiology2 жыл бұрын
sounds like there is fibrosis in the lungs. If it is significant, it is probably contributing to the shortness of breath. I would have that person see a lung doctor.
@Shak-MD3 жыл бұрын
Thank you for your time and effort. Is there a software with cases available for learning chest CT's ?
@udaybapat8878 ай бұрын
CT report of 61 yrs male. Sir is this normal and self limiting findings or require medical treatment is must. "Area of consolidation noted in basal segment of left lower lobe as superior segment of right lower lobe with multiple tiny noduls giving tree in bud appearance.. # Minimal left plural effusion noted . #Traction bronchiactisis changes noted in upper bilateral and middle lobe. #Signaficant fibrotic changes with interstitial changes noted along bilateral upper lobe. Rest of the bilateral parenchyma appears normal in attenuation. Rrachea and major bronchi appwars normal. No signaficant medisstinal lymhodanopathy seen. The heart and medistinal vessel seems normal. Thoracic vertebrae sternym, ribs ,chest wall normal. Post kochs sequel in upper lobe. Moderate size consolidations and tree in bud nodules in bilateral lower lobe" Pl seeking yiur valuable opinion.
@1o1carolina53 Жыл бұрын
Thanks to military service 86-97 ZERO PPE provided during all handling asbestos, grinding metal, cutting concrete etc etc etc welding Diesel and jet fuel exhaust and second hand smoke
@immane754 жыл бұрын
excellent , thank you very much .
@moclack40583 жыл бұрын
Brilliant thanks lot, could you tell me please what called characteristic sign of traction bronchiectasis?
@Avinashdahatre3 жыл бұрын
Sir can u describe various bronchiectasis changes in lung hrct
@debigdogk9563 Жыл бұрын
GOATT. Greatest Of All Time Teacher . Thank you ❤❤❤❤❤❤
@bhavinmodasiya95442 жыл бұрын
How does honeycombing look on saggital image ?
@ThoracicRadiology2 жыл бұрын
it looks the same on the sagittal as it does on the axials. traction bronchiectasis will look different, on the coronal and sagittals, traction bronchiectasis can look like elongated tubes which helps differentiate traction bronchiectasis from honeycombing.
@coldmagnet3 жыл бұрын
Another fantastic video. I'm gonna dominate this thoracic rotation.
@ThoracicRadiology3 жыл бұрын
💪😤👍
@abdelkrimzaouidi30726 ай бұрын
this is a great video, thank you from algeria
@danceforever7923 жыл бұрын
A simple and beautiful explanation... really helpful sir... 👍
@arminhomoras2499 Жыл бұрын
Thank you for this great video!
@rabiaachoubkha7279 Жыл бұрын
excellent grand merci from Algeria
@sumakumaraswamy228Ай бұрын
Shouldn't a single layer of honeycombing be called paraseptal emphysema?
@ThoracicRadiologyАй бұрын
They are different processes. One is lung destruction and one is lung fibrosis. They can be hard to tell apart sometimes.
@Solterie14 жыл бұрын
What would be your differential for the last case? With the combination of GGO, reticulations and traction bronchiectasis, would that fulfill the criteria of fibrotic NSIP?
@ThoracicRadiology4 жыл бұрын
Yeah I would say nsip for that one.
@nkratochvil122 Жыл бұрын
What is a consolidated Ground glass opacity 8mm ? Is this just an opacity or a nodule? I have alot more going on in my lungs and now have to go to pulmonologist to rule out atypical infection vs inflammatory less likely neoplastic process. Trying to learn what I can. My xray from 10 months ago tells them it grew. I know your teaching future radiologist but I'm greatful for your videos and piece of mind.
@divyaahuja13278 ай бұрын
How r u feel now mam
@drmeghanabkulkarni91733 жыл бұрын
Explained well. Thank you.
@shafimallah31308 ай бұрын
Clarity wow,but i m still feeling difficulty between broniectasis and honeycombing at pleural regions .
@ThoracicRadiology7 ай бұрын
yeah, the distinction between the two may not be as important as once thought. If there aren't any features that suggest otherwise, peripheral and basilar fibrosis without much ground glass is often UIP.
@jishanalam5187 Жыл бұрын
I wish every part of radiology had videos like you. 🎉
@ThoracicRadiology Жыл бұрын
you should start a channel and make them :)
@jijugeorge014 жыл бұрын
Please do more videos like this. Very well explained. To the point. Where's the next video on ILD?
@ThoracicRadiology4 жыл бұрын
Thanks Jiju, still working on it. Such a big topic, trying to figure out how to chop it up into less than 10 min videos.
@evrimeylemakpnar24622 жыл бұрын
Thank you for yout excellent video.What was the diagnosis of the last patient?
@dr.anwar.ghanem2 жыл бұрын
Thank u dr ❤
@pradnyaalne76022 күн бұрын
Excellent 👌
@kishorkumarb31922 жыл бұрын
Hi sir. How to differentiate between GGO and air trapping, other than doing expiratory scan.
@ThoracicRadiology2 жыл бұрын
Usually air trapping is very well demarcated as opposed to ggo which usually has ill-defined borders. Also, in air trapping, the lung will look hyperlucent to normal lung and the vessels may be smaller in caliber.
@vedsharma29733 жыл бұрын
Nicely expained
@MDJAMANURRahman4 жыл бұрын
Thank you Sir
@fancy91594 жыл бұрын
Thank you
@comandante93124 жыл бұрын
Thank you.
@sameerchandorkar365 Жыл бұрын
🙏
@samreentariq99804 жыл бұрын
Thanks pls also tell us how can we report Nd more examples of acute nd chronic infection pattern
@tanyatantry74232 жыл бұрын
Pls add time codes ;)
@ThoracicRadiology2 жыл бұрын
great suggestion, thank you
@halibakda1540 Жыл бұрын
Great. Thank you very much.
@aigonewrong.2 жыл бұрын
super duper helpful. thank you for posting this Doc!
@hastyfellow52013 жыл бұрын
Thank you for this great crystal clear video! Would be great if you had a video of several cases.
@ThoracicRadiology3 жыл бұрын
Great suggestion!
@dipikalc6682 жыл бұрын
I love this explanation. Much appreciated!
@benjy23914 жыл бұрын
thank you, this was really pragmatic useful
@defacto_88402 жыл бұрын
Excellent! Thank you.
@prasannakanagaratenam3293 Жыл бұрын
Very helpful . Thank you
@mosabanani Жыл бұрын
thank you , this helped me a lot
@daymeeedababy4 жыл бұрын
Daymeee________ has had junk in the lung [thick opaque mucus] for a decade now and is affraid to get a CT scan
@zainabali61402 жыл бұрын
Great video, thank you
@thewombats66664 жыл бұрын
Please upload more videos like this :)
@ThoracicRadiology4 жыл бұрын
I plan on it
@thewombats66664 жыл бұрын
@@ThoracicRadiologythis video is probably the best video explaining basic knowledge of intersticial lung disease. Top notch content. Congratulations.
@sethbhavna3 жыл бұрын
This was great! I couldn’t find the follow up talk for building a differential based on these - anyone?
@ThoracicRadiology3 жыл бұрын
hi yeah it is still in the works. sorry I'm slow with these videos lately bc of work
@kyrienkim55583 жыл бұрын
Very helpful. Thank you 😊
@kamranansari70482 жыл бұрын
Hello... thanks for the great explanation! Does reticulation AND traction bronchiectasis definitively mean fibrosis, or is there still room for other diagnoses?
@ThoracicRadiology2 жыл бұрын
It definitely means fibrosis but the reason why the fibrosis developed can be for a number of reasons.
@drgadham2 жыл бұрын
VERY GOOD TEACHING
@rajendrakumarsinghmehra23682 жыл бұрын
Great lecture ,very much helpful
@mrehteshamjavaid4 жыл бұрын
That really Cool Video!
@syphoresdrow50773 жыл бұрын
Hi, how do you differentiate honeycombing with emphysema ?
@ThoracicRadiology3 жыл бұрын
Hi, a few different ways: 1) apical-basilar distribution. emphysema will be more apical and honeycombing usually basilar. 2) look at the septations. emphysema will usually be thin vs honeycombing is thick. 3) are they rows stacked on each other? prob is honeycombing. 4) are they a smoker? if not, prob not emphysema. In the end, it can still be hard, and to make matters worse, it is not uncommon to see both honeycombing and emphysema in the same patient.
@prosantabarikder9782 жыл бұрын
Ok
@zekihakki21172 жыл бұрын
It means no hope at all ! Treatment doesn’t make any difference,suffering longer and in short time you be going 😃 Simply you can behave yourself all your life,worked hard and expect to have a reasonable life when you retired ! Still no cure,might be another 50-100 years ! Godbless us all🙏🙏
@imranqureshi7092 жыл бұрын
Excellent
@bittamenn3 жыл бұрын
Very helpful!
@alpr18643 жыл бұрын
g.o.a.t
@zhuzhu89603 жыл бұрын
Thank you for your explaination,i want to know what system do you use to watch CT? 3KS
@ThoracicRadiology3 жыл бұрын
Do you mean the software I use? It is called OsiriX
@zhuzhu89603 жыл бұрын
@@ThoracicRadiology yeah,thank you a lot.
@darshanilakmali35232 жыл бұрын
😍
@brillianttec35042 жыл бұрын
is there a treatment?
@ThoracicRadiology2 жыл бұрын
The treatment will depend on what the underlying cause of fibrosis is