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The distribution of nodules shown on HRCT is the most important factor in making an accurate

nodules shown on HRCT ... centrilobular or random ... Random refers to ... #Diagnosis #Radiology ... #Pulmonary #HRCT

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

Algorithm for nodular ... pattern The algorithm ... perilymphatic, random ... #Diagnosis #Radiology ... #Pulmonary #HRCT

Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =

Diagnostic algorithm ... HRCT = high-resolution ... pulmonary fibrosis; UIP ... pneumonitis #IPF #UIP ... #Algorithm #Diagnosis

Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic

Miliary TB: random ... #Clinical #Radiology ... #HRCT #CTChest

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

pneumonia and UIP ... #Diagnosis #Radiology ... #Pulmonary #HRCT

Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases

is seen in: - UIP ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT

The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-

Lung cysts (LAM, LIP ... on the basis of HRCT ... #Diagnosis #Radiology

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

Differential diagnosis on HRCT ... disease comes from HRCT ... On HRCT there are ... in many cases UIP ... #Diagnosis #Radiology

Approach to the diagnosis of chronic hypersensitivity pneumonitis.
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial

hypersensitivity pneumonitis; HRCT ... computed tomography; UIP ... pulmonary #diagnosis #algorithm

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

- Metastases: random ... central dot. - LIP ... Clinical #Diagnosis #Radiology

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