Dr Khaled Ahmed Abuzeid
@khaledzeid • 28,198 subscribers
Clinical Radiologist from Egypt interested in Chest Imaging and trying to make it interesting to others everywhere
Shorts
Videos
Case Discussion for Colleagues 👇 Here is an HRCT case of a 39-year-old female with known scleroderma. The pattern is challenging, and I’m interested to hear your interpretation. 🔽 HRCT video is attached. Using the 4-Step Approach, choose the conclusion you think best fits this case and explain your reasoning in the comments: 1️⃣ Probable usual interstitial pneumonia 2️⃣ Fibrotic nonspecific interstitial pneumonia 3️⃣ Probable usual interstitial pneumonia versus fibrotic nonspecific interstitial pneumonia 4️⃣ Indeterminate usual interstitial pneumonia versus fibrotic nonspecific interstitial pneumonia Important: In your comment, please mention which step or steps helped you reach your conclusion. For example: •Step 1: Is honeycombing present? •Step 2: Is the pattern UIP or non-UIP? •Step 3: Are there non-IPF features? •Step 4: Are there CTD-UIP clues? This will help enrich the discussion and enhance the teaching value for everyone. Looking forward to your insights!
Dr Khaled Ahmed Abuzeid22,807 次观看 • 7 个月前
📊 Poll Time 52-year-old male with chronic cough. HRCT shows combined pulmonary fibrosis and emphysema (CPFE). Which UIP category best fits this HRCT pattern? 🔹 Typical UIP 🔹 Probable UIP 🔹 Indeterminate UIP 🔹 UIP-alternative Comment your reasoning if you like 👇 #HRCT #ILD #Radiology #ChestImaging #UIP
Dr Khaled Ahmed Abuzeid19,154 次观看 • 8 个月前
🫁 Complex HRCT Case Male, 49 years, ex-smoker Admitted with chest infection. HRCT video below 👇 What is your impression regarding the smoking-related lung disease component on this scan? Looking forward to your thoughts. I will share the detailed analysis in the comments after your responses.
Dr Khaled Ahmed Abuzeid13,116 次观看 • 5 个月前
✅ CT Reveal – Teaching Case CT pulmonary angiography – Lung and soft-tissue windows In this 22-year-old male with acute hemoptysis and hemoglobin drop, CT shows: ✔ Focal pulmonary hemorrhage involving the right middle and lower lobes. ✔ Expansion of the bronchus intermedius filled with an endobronchial soft-tissue lesion. ✔ Hemorrhage is downstream to the obstructed bronchus, explaining the lobar distribution seen on chest X-ray. 🎥 Lung and mediastinal window clips demonstrate the airway abnormality clearly. This confirms that the bleeding source is airway-related, not primary parenchymal or pulmonary arterial disease. ⸻ ✅ Bronchoscopy and Final Diagnosis Bronchoscopy revealed a large intrabronchial blood clot, and the patient was referred to thoracic surgery with the diagnosis of: 👉 Bronchial Dieulafoy disease. ⸻ ✅ What is Bronchial Dieulafoy Disease? Bronchial Dieulafoy disease is a rare vascular anomaly of the bronchial wall characterized by: •A dilated, tortuous submucosal artery that protrudes into the bronchial lumen. •Normal surrounding mucosa until rupture occurs. •Sudden, often massive hemoptysis, usually in young or middle-aged patients. •CT may show only indirect signs (endobronchial filling, clot, focal hemorrhage), while bronchoscopy and angiography are key for diagnosis and treatment. 📌 Biopsy is dangerous because it can trigger catastrophic bleeding. 📌 Management includes bronchial artery embolization or surgical resection when needed. ⸻ ✅ Teaching Points ✔ Always differentiate focal versus diffuse pulmonary hemorrhage. ✔ Focal, lobar hemorrhage should prompt careful evaluation of the airways. ✔ CT angiography must be reviewed in both lung and mediastinal windows, tracking the bronchi. ✔ Rare entities like Bronchial Dieulafoy disease can mimic tumors or mucus plugs on CT.
Dr Khaled Ahmed Abuzeid11,851 次观看 • 5 个月前
HRCT Poll | Asbestos-related pleural disease Male, 70 years. Based on this HRCT video, which statement about the distribution of calcified pleural plaques is WRONG? A. Predominant involvement of the posterolateral chest wall B. Frequent involvement of the diaphragmatic pleura C. Relative sparing of the apical pleura D. Involvement of the costophrenic angles
Dr Khaled Ahmed Abuzeid11,460 次观看 • 6 个月前
Case for discussion 👤 Male, 67 years 🫁 Fibrotic lung disease on HRCT Based on the HRCT findings: • What is the pattern of fibrosis? • What is the most likely diagnosis? Focus on distribution, fibrotic signs, and associated thoracic findings before arriving at a final diagnosis. 💬 Share your interpretation and reasoning.
Dr Khaled Ahmed Abuzeid11,194 次观看 • 6 个月前
🔎 Challenging ILD Case 📌 Female, 47 years old 📌 Known case of antisynthetase syndrome 👉 HRCT is shared below. If you are the pulmonologist, what would your clinical impression be? If you are the radiologist, what diagnosis would you offer? 💬 Looking forward to your expert thoughts and discussion with the multidisciplinary team. 💬 Looking forward to your expert insights. #HRCT #ILD #Radiology #Rheumatology #Multidisciplinary
Dr Khaled Ahmed Abuzeid15,302 次观看 • 10 个月前
🫁 MDD Case A 47-year-old female presents with chronic cough and shortness of breath. Her HRCT demonstrates a fibrosing interstitial pneumonia pattern.  ➡️ As the radiologist in MDD, my question to colleagues is: Would you consider this imaging pattern a sole diagnosis? Or should we discuss a broader differential diagnosis at this stage?  👉 Share your thoughts
Dr Khaled Ahmed Abuzeid13,409 次观看 • 10 个月前
🧠 HRCT Challenge 📍 Female, 30 years old 📍 History of bird exposure According to her HRCT findings: ➡️ What is the type and subtype of hypersensitivity pneumonitis (HP)? ➡️ Any unusual associations you notice? Drop your thoughts 👇 #Radiology #ChestCT #ILD #HP #HRCTChallenge
Dr Khaled Ahmed Abuzeid12,433 次观看 • 1 年前
🔍 Case Discussion: 47-year-old female with two HRCT scans: • 2017: Multiple lung cysts + Three-density sign • 2024: Findings persist + newly developed fibrosis 💡 Question: Does the newly developed fibrosis: 1️⃣ Alter your initial diagnosis? 2️⃣ Represent a progressive form of the initial condition? Drop your thoughts below! 🩺👇 #Radiology #Pulmonology #HRCT #MedEd
Dr Khaled Ahmed Abuzeid14,353 次观看 • 1 年前
🫁 Case Referral – Fibrotic ILD in a 34F Pulmonology team shared this case for radiologic input. They suspect ILD—possibly due to recurrent COVID-19—but are now leaning toward CTD-related ILD. Differentials they’re considering: 🔸 Sjögren’s syndrome 🔸 Atypical RA with ILD What fibrotic pattern do you see on HRCT? Your thoughts? #Radiology #HRCT #ILD #CTD #ChestImaging #MedTwitter
Dr Khaled Ahmed Abuzeid10,267 次观看 • 1 年前