17 results
Differential diagnosis for toxic/metabolic encephalopathies - Patterns on Brain Imaging

Cynthia Czawlytko, MD @drcyncity

#Differential #diagnosis #encephalopathies #encephalopathy
encephalopathies - Patterns ... on Brain Imaging ... #imaging #patterns ... #MRI #Neurology ... pathology #diseases #radiology
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... #Clinical #Radiology ... CTChest #Nodular #Pattern ... #Comparison #Table
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... #Clinical #Radiology ... HighAttenuation #Pattern ... #Comparison #Table
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... #Clinical #Radiology ... CTChest #Nodular #Pattern ... #Comparison #Table
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... #Clinical #Radiology ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... #Clinical #Radiology ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... the nodules are diffuse ... #Diagnosis #Radiology ... NodularPattern #Nodular #Pattern
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
High Attenuation pattern ... consolidation #Clinical #Radiology ... HighAttenuation #Pattern ... #Comparison #Table
Imaging Patterns of Toxic and Metabolic Brain Disorders

Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy
Dentate Nuclei: Metronidazole,
Imaging Patterns ... and Metabolic Brain ... Pons: ODS #MRI ... #Patterns #Toxicology ... #Metabolic #Brain
Inflammatory Myopathies
Dermatomyositis
 • Onset: Subacute
 • Pattern: Proximal
 • CK: Up to 50X ULN
 • Autoantibodies:
: Subacute • Pattern ... : Subacute • Pattern ... or subacute • Pattern ... Insidious/slow • Pattern ... #rheumatology #table