11 results
Lung Nodules - Differential Diagnosis by Distribution
 • Centrilobular: Hypersensitivity Pneumonitis, RB-ILD, Pneumoconiosis, Infectious Bronchiolitis, Vasculitis,
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
bronchiolitis (RB-ILD ... #Differential #Table ... #Distribution # ... Upper #Lower #RadiologyAssistant
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
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
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
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 ... Fibrosis #Mimic #ILD ... #RadiologyAssistant
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
CXR: Peripheral distribution ... Pulmonary lymphoma, Diffuse ... Treatment: • Mild ... BOOP #pulmonary #ILD
The predominant finding is ground glass opacity (GGO).
There is very subtle traction bronchiectasis, indicating that the
see the classic distribution ... NonspecificInterstitialPneumonia #ILD ... #RadiologyAssistant