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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
in cryptogenic organizing ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Table ... Central #Peripheral #RadiologyAssistant
On the left a patient with rheumatoid arthritis and bilateral peripheral consolidations as a result of
arthritis and bilateral ... as a result of organizing ... #Clinical #Radiology ... RheumatoidArthritis #ILD ... #RadiologyAssistant
On the left a patient who complained of arthritic pain.

There are multiple small bilateral peripheral consolidations.
The
multiple small bilateral ... this was also organizing ... #Clinical #Radiology ... #Pneumonia #ILD ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... edema #Diagnosis ... #Radiology #Pulmonary ... #Differential #Table ... #Upper #Lower #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
The table summarizes ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #Table ... #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
carcinoma, the diagnosis ... of cryptogenic organizing ... #Clinical #Radiology ... #Pneumonia #ILD ... #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
the differential diagnosis ... of organizing pneumonia ... #Clinical #Radiology ... #Distribution #Organizing ... OrganizingPneumonia #BOOP #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Multifocal ill-defined ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
bronchiolitis: ill ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... Differential #Comparison #Table ... #RadiologyAssistant
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
diseases like organizing ... proteinaceous material ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant