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On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... centrilobular nodules ... Diagnosis #Radiology #Pulmonary ... Differential #Comparison #Table ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... centrilobular nodules ... Sarcoidosis: nodules ... Pattern #Comparison #Table ... #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... Sarcoidosis: nodules ... HRCT #CTChest #Nodular ... Pattern #Comparison #Table ... #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic nodules ... perilymphatic nodules ... and the nodular ... Diagnosis #Radiology #Pulmonary ... #Differential #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
opacities - Fine Nodular ... interstitial opacities Nodule ... mass - Solitary Pulmonary ... Nodule - Multiple ... Consolidation #Patterns #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... centrilobular nodules ... and also nodules ... Diagnosis #Radiology #Pulmonary ... Differential #Algorithm #RadiologyAssistant
Chest XRay Nodule / Mass Pattern - Differential Algorithm #Diagnosis #Radiology #Pulmonary #CXR #Nodule #Mass #Pattern
Chest XRay Nodule ... Diagnosis #Radiology #Pulmonary ... #CXR #Nodule #Mass ... Differential #Algorithm #RadiologyAssistant
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
and cardiogenic pulmonary ... Diagnosis #Radiology #Pulmonary ... #Differential #Table ... Central #Peripheral #RadiologyAssistant
Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes
centrilobular nodules ... irregular and often nodular ... Pathophys #Radiology #Pulmonary ... TreeInBud #Diagram #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
- Aspiration - Pulmonary ... Diagnosis #Radiology #Pulmonary ... #Differential #Table ... #Upper #Lower #RadiologyAssistant