Startle radiology radiologyassistant sign diagnosis msk lever pulmonary hrct nodular centrilobular

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

perilymphatic, random and centrilobular ... distribution is likely centrilobular ... #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 ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Comparison #Diagram #RadiologyAssistant

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

pneumonitis: ill defined centrilobular ... Hypersensitivity pneumonitis: centrilobular ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... Comparison #Table #RadiologyAssistant

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

Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes

Tree-in-bud In centrilobular ... nodules the recognition ... the differential diagnosis ... #Radiology #Pulmonary ... TreeInBud #Diagram #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

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

Nodular LCH: - Sarcoidosis ... : 'signet ring sign ... '. - Centrilobular ... #Radiology #CTChest ... Comparison #Table #RadiologyAssistant

Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or

resolution of the HRCT ... , NSIP, DIP. - Centrilobular ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary ... #Differential #RadiologyAssistant

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

HR-pattern: reticular nodular ... secondary lobule (centrilobular ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... 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 ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant

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