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Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
perilymphatic distribution ... Clinical #Radiology #HRCT ... Nodular #Pattern #Comparison
The distribution of nodules shown on HRCT is the most important factor in making an accurate
The distribution ... nodules shown on HRCT ... Random distribution ... Radiology #Pulmonary #HRCT ... Perilymphatic #Comparison
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
perilymphatic distribution ... Clinical #Radiology #HRCT ... Nodular #Pattern #Comparison
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
incidental finding in HRCT ... and perihilar distribution ... Clinical #Radiology #HRCT ... Reticular #Pattern #Comparison
UIP with honeycombing (left) and chronic HP (right) Differential diagnosis of Hypersensitivity Pneumonitis. Subacute stage: - RB-ILD: seen in
show very similar HRCT ... strong lower zone distribution ... #CTChest #UIP #Comparison
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema. Peripheral distribution is mainly seen in cryptogenic
Central distribution ... Peripheral distribution ... Radiology #Pulmonary #HRCT ... Differential #Table #Distribution
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
Radiology #Pulmonary #HRCT ... Differential #Table #Distribution
Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look
in number, the distribution ... periplymphatic distribution ... likely a random distribution ... Radiology #Pulmonary #HRCT
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
on the basis of HRCT ... Differential #Diagram #Comparison
Perilymphatic distribution Perilymphatic nodules are most commonly seen in sarcoidosis. They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic distribution ... Radiology #Pulmonary #HRCT
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