Pivot acltear diagnosis table radiologyassistant fleischner nodule hrct pulmonary central ctchest

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Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and

in differential diagnosis ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #RadiologyAssistant

Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look

along the central ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... Differential #Algorithm #RadiologyAssistant

Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic

Central distribution ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Table ... #Peripheral #RadiologyAssistant

On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary

#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... Differential #Comparison #Table ... #RadiologyAssistant

Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round

Nodular LCH: - Sarcoidosis ... emphysema: no walls, central ... #Radiology #CTChest ... Differential #Comparison #Table ... #RadiologyAssistant

Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high

lower zone or a central ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest ... Algorithm #ILD #RadiologyAssistant

Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from

Differential diagnosis ... patterns: reticular, nodular ... low attenuation (table ... #Pulmonary #CXR ... #Differential #RadiologyAssistant

Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the

Fleischner Society ... definitive tissue diagnosis ... Management #Radiology #CTChest ... #Followup #Pulmonary ... #Nodules #RadiologyAssistant

The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders.
They represent fundamental responses of

listed in the table ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... ILD #Findings #RadiologyAssistant

Differential diagnosis of Lymphangitic Carcinomatosis.
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular

Differential diagnosis ... thickening of the central ... #CTChest #LymphangiticCarcinomatosis ... Differential #Comparison #Table ... #RadiologyAssistant

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