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Here are the most common examples of these four patterns on a chest x-ray (click image
opacities - Fine Nodular ... Atelectasis #Diagnosis ... #Clinical #Radiology ... #CXR #Consolidation ... #Patterns #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... NodularPattern #Differential ... Comparison #Table #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
demonstrated a fine nodular ... #Clinical #Radiology ... #CXR #Sarcoidosis ... #Nodular #Interstitial ... #Pattern #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... Comparison #Table #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... patterns: reticular, nodular ... seen and in many cases ... #Diagnosis #Radiology ... #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Sarcoidosis On a CXR ... #Clinical #Radiology ... #CXR #NodularInterstitial ... #Nodular #Interstitial ... #Sarcoidosis #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
nodules. ... can suggest the diagnosis ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
masses. ... dealing with the differential ... #Clinical #Radiology ... #CXR #Peripheral ... OrganizingPneumonia #BOOP #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... lobar pneumonia caused ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Table #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... in fact this is nodular ... #Clinical #Diagnosis ... #Radiology #CXR ... #RadiologyAssistant