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Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and

nodules and the nodular ... #Diagnosis #Radiology ... Pulmonary #HRCT #CTChest ... #Nodular #Differential ... #RadiologyAssistant

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

Algorithm for nodular ... to distinguish perilymphatic ... #Diagnosis #Radiology ... Pulmonary #HRCT #CTChest ... Differential #Algorithm #RadiologyAssistant

On the left another typical case of sarcoidosis.
In addition to the perilymphatic nodules, there are multiple

#Clinical #Radiology ... #CTChest #Sarcoidosis ... #Perilymphatic ... Peribronchovascular #Nodular ... #RadiologyAssistant

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

Nodular pattern ... : nodules with perilymphatic ... #Clinical #Radiology ... #HRCT #CTChest ... 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( ... : nodules with perilymphatic ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant

Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round

Nodular LCH: - Sarcoidosis ... : perilymphatic ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant

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

: nodules with perilymphatic ... : nodules with perilymphatic ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... Comparison #Table #RadiologyAssistant

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

diagnosis in the nodular ... Unlike perilymphatic ... #Diagnosis #Radiology ... NodularPattern #Nodular ... Comparison #Diagram #RadiologyAssistant

On the left a typical case of perilymphatic distribution of nodules in a patient with sarcoidosis.
Notice

#Clinical #Radiology ... #CTChest #Sarcoidosis ... #Perilymphatic ... Peribronchovascular #Nodular ... #RadiologyAssistant

Here are the most common examples of these four patterns on a chest x-ray (click image

patterns on a chest ... opacities - Fine Nodular ... Diagnosis #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant

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