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On the left another typical case of sarcoidosis.
In addition to the perilymphatic nodules, there are multiple
perilymphatic nodules ... enlarged lymph nodes ... #Clinical #Radiology ... #CTChest #Sarcoidosis ... Peribronchovascular #Nodular
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic nodules ... perilymphatic nodules ... #Diagnosis #Radiology ... Pulmonary #HRCT #CTChest ... #Differential #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
centrilobular nodules ... Sarcoidosis: nodules ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... NodularPattern #Differential
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
centrilobular nodules ... Sarcoidosis: nodules ... centrilobular nodules ... #Clinical #Radiology ... #HRCT #CTChest
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
centrilobular nodules ... and also nodules ... #Diagnosis #Radiology ... Pulmonary #HRCT #CTChest ... #Differential #
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... Sarcoidosis: nodules ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern
#Clinical #Radiology #CXR #CTChest #Longstanding #Sarcoidosis #Fibrosis #Conglomerate #Nodules #RadiologyAssistant
#Clinical #Radiology ... #CXR #CTChest # ... #Conglomerate #Nodules
Liver Mass Differential Diagnosis
Solid:
 • Benign: Hepatic Hemangioma, Focal nodular hyperplasia, Hepatocellular adenoma, Regenerative nodules
 •
Liver Mass Differential ... Hemangioma, Focal nodular ... , Regenerative nodules ... #Liver #Mass #Differential ... Diagnosis #hepatology #Radiology
Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes
centrilobular nodules ... narrowing the differential ... irregular and often nodular ... Diagnosis #Pathophys #Radiology ... #Pulmonary #CTChest
An Algorithm for the Evaluation of Chest Pain #Diagnosis #Management #EM #IM #Chest #Pain #ChestPain #Evaluation
Evaluation of Chest ... Pain #Diagnosis #Management ... #EM #IM #Chest ... ChestPain #Evaluation #Differential ... #Algorithm #Ddxof