21 results
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... perilymphatic distribution ... #Clinical #Radiology ... #Comparison #Table ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
perilymphatic distribution ... perilymphatic distribution ... #Clinical #Diagnosis ... Differential #Comparison #Table ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... in number, the distribution ... periplymphatic distribution ... likely a random distribution ... #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... perilymphatic distribution ... #Clinical #Radiology ... #Comparison #Table ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... #Differential #Table ... #Distribution # ... Upper #Lower #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
perilymphatic distribution ... Metastases: random distribution ... cysts, evenly distribution ... central dot. - LIP #Clinical ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... to look at the pattern ... of distribution ... more than one pattern ... #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
pneumonitis are: Mosaic pattern ... in a mid zone distribution ... shows a mosaic pattern ... #Clinical #Radiology ... Chronic #Fibrosis #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
larger ones are ill-defined ... is a peripheral distribution ... #Clinical #Radiology ... CXR #Peripheral #Distribution ... OrganizingPneumonia #BOOP #RadiologyAssistant
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
parenchyma in a diffuse distribution ... basilar predominant distribution ... zone predominant distribution ... Diffuse distribution ... presentations - ILD