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Lung Nodules - Differential Diagnosis by Distribution
 • Centrilobular: Hypersensitivity Pneumonitis, RB-ILD, Pneumoconiosis, Infectious Bronchiolitis, Vasculitis,
Distribution • Centrilobular ... Pneumonitis, RB-ILD
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
related diseases (centrilobular ... bronchiolitis (RB-ILD
On the left a patient with RB-ILD.
The dominant feature is ground glass opacification and there are
patient with RB-ILD ... smoking induced centrilobular ... RespiratoryBronchiolitis #ILD
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 ... Fibrosis #Mimic #ILD
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
secondary lobule (centrilobular ... Interpretation #Algorithm #ILD
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Hypersensitivity pneumonitis: ill ... defined centrilobular ... Hypersensitivity pneumonitis: centrilobular ... bronchiolitis: ill ... defined centrilobular
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis: ill ... defined centrilobular ... Hypersensitivity pneumonitis: centrilobular
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
Lung Diseases (ILD ... Exposure-Related ILD ... ILD caused by inhalation ... Medication-induced ILD ... Methotrexate ILD
The distribution of nodules shown on HRCT is the most important factor in making an accurate
perilymphatic, centrilobular ... Centrilobular distribution ... limited to the centrilobular ... random nodules, centrilobular ... Distribution #Random #Centrilobular
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... Notice the centrilobular