13 results
Lung Nodules - Differential Diagnosis by Distribution
 • Centrilobular: Hypersensitivity Pneumonitis, RB-ILD, Pneumoconiosis, Infectious Bronchiolitis, Vasculitis,
Lung Nodules - Differential ... Diagnosis by Distribution ... Pneumonitis, RB-ILD ... Bronchiolitis, Vasculitis, Diffuse ... Differential #Diagnosis #Distribution
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... #Differential #Table ... #Distribution # ... Upper #Lower #RadiologyAssistant
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
distribution ... basilar predominant distribution ... zone predominant distribution ... Diffuse distribution ... presentations - ILD
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
in number, the distribution ... periplymphatic distribution ... the nodules are diffuse ... likely a random distribution ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis: ill ... perilymphatic distribution ... Pattern #Comparison #Table ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... the pattern of distribution ... The old name is ... #Differential #Table ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
perilymphatic distribution ... perilymphatic distribution ... bronchiolitis: ill ... Differential #Comparison #Table ... #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
densities in both lungs ... larger ones are ill-defined ... is a peripheral distribution ... CXR #Peripheral #Distribution ... OrganizingPneumonia #BOOP #RadiologyAssistant
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
of interstitial lung ... CXR: Peripheral distribution ... Pulmonary lymphoma, Diffuse ... Treatment: • Mild ... BOOP #pulmonary #ILD
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Subacute stage: - RB-ILD ... strong lower zone distribution ... throughout the whole lung ... Fibrosis #Mimic #ILD ... #RadiologyAssistant