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Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern ... MultipleNodules #Nodules #Differential
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... in the nodular pattern ... #NodularPattern ... #Nodular #Pattern ... Perilymphatic #Comparison
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Miliary TB: random ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Miliary TB: random ... #Clinical #Diagnosis ... #NodularPattern ... #Differential # ... Comparison #Table
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... the dominant HR-pattern ... perilymphatic or random ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... Subacute stage: - RB-ILD ... show very similar HRCT ... #Clinical #Diagnosis ... #CTChest #UIP #Comparison
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... The dominant pattern ... there is a broad differential ... and additional clinical ... #Clinical #Radiology
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
cut-offs defined in clinical ... and allogeneic HSCT ... BAL GM does not differentiate ... setting of GVHD) ID ... Galactomannan #diagnosis #comparison