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Here are the most common examples of these four patterns on a chest x-ray (click image
- Multifocal ill-defined ... mass - Solitary Pulmonary ... Nodule - Multiple ... Diagnosis #Clinical #Radiology ... #Patterns #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... #Clinical #Radiology ... #HRCT #CTChest ... 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 ... and the nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... - Aspiration - Pulmonary ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Upper #Lower #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
and other non-pulmonary ... Pulmonary hemorrhage ... in fact this is nodular ... Clinical #Diagnosis #Radiology ... #Causes #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... centrilobular nodules ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Differential #Algorithm #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
HRCT findings in ... demarcated. - Consolidations ... #Clinical #Radiology ... Organizing #Pneumonia #ILD ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Hypersensitivity pneumonitis: ill ... bronchiolitis: ill ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... Comparison #Table #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
HR-pattern: reticular nodular ... (ground-glass, consolidation ... #Pulmonary #HRCT ... Interpretation #Algorithm #ILD ... #RadiologyAssistant
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
and chronic consolidation ... granulomatous noduli ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant