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

Nodular pattern ... centrilobular nodules ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant

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

Perilymphatic nodules ... in differential diagnosis ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #RadiologyAssistant

Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In

HRCT is needed to ... The HRCT - not shown ... #Clinical #Radiology ... #Sarcoidosis #Nodular ... Interstitial #Pattern #RadiologyAssistant

Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient

Nodular pattern( ... Sarcoidosis: nodules ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant

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

Algorithm for nodular ... centrilobular nodules ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Differential #Algorithm #RadiologyAssistant

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

shown on HRCT is ... making an accurate diagnosis ... In most cases small ... #Diagnosis #Radiology ... Comparison #Diagram #RadiologyAssistant

Here are the most common examples of these four patterns on a chest x-ray (click image

opacities - Fine Nodular ... - Multiple Masses ... Atelectasis #Diagnosis ... #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant

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

Differential diagnosis ... patterns: reticular, nodular ... seen and in many cases ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant

More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for

also uncommon HRCT-presentations ... first list is 'SHIT ... #Diagnosis #Radiology ... SHITFACED #Mnemonic #HRCT ... #RadiologyAssistant

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

#Diagnosis #Radiology ... #Pulmonary #HRCT ... Central #Peripheral #RadiologyAssistant

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