Anterior ocular ultrasound cardiology radiologyassistant hrct ild centrilobular nodularpattern

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Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic

Hypersensitivity pneumonitis: ill ... defined centrilobular ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant

On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary

defined centrilobular ... bronchiolitis: ill ... Clinical #Diagnosis #Radiology ... #Pattern #NodularPattern ... Comparison #Table #RadiologyAssistant

Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look

perilymphatic, random and centrilobular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... Differential #Algorithm #RadiologyAssistant

The distribution of nodules shown on HRCT is the most important factor in making an accurate

nodules shown on HRCT ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #NodularPattern ... Comparison #Diagram #RadiologyAssistant

Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases

Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high

interpretation of HRCT ... HR-pattern: reticular nodular ... secondary lobule (centrilobular ... Interpretation #Algorithm #ILD ... #RadiologyAssistant

UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in

Subacute stage: - RB-ILD ... associated with centrilobular ... show very similar HRCT ... Fibrosis #Mimic #ILD ... #RadiologyAssistant

Subacute hypersensitivity pneumonitis
The key findings in the subacute hypersensitivity pneumonitis are:
ill-defined centrilobular nodules of ground-glass opacity

centrilobular nodules ... There are ill-defined ... #Clinical #Radiology ... HypersensitivityPneumonitis #Nodular ... #RadiologyAssistant

Metastases
Metastases are the most common cause of multiple pulmonary masses.
Usually they vary in size and are

HRCT will demonstrate ... perilymphatic or centrilobular ... has invaded the inferior ... #Clinical #Radiology ... Lung #Metastases #RadiologyAssistant

There is a large pericardial effusion, which is located posteriorly to the left ventricle (blue arrow).
The

left ventricle id ... Notice that on the anterior ... explains why the ultrasound ... #Clinical #Radiology ... PericardialEffusion #RadiologyAssistant

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