11 results
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Differential #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Hypersensitivity pneumonitis: ill ... bronchiolitis: ill ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... NodularPattern #Differential
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... patterns: reticular, nodular ... appreciate on a cest ... #Diagnosis #Radiology ... #Pulmonary #CXR
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
centrilobular nodules ... Diagnosis: • HRCT ... function tests: ... mycobacteria Treatment ... #differential #
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 ... HR-pattern: reticular nodular ... #Pulmonary #HRCT ... #CTChest #Interpretation ... #Algorithm #ILD
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... thickening in the basal parts ... there is a broad differential ... #Clinical #Radiology ... #CTChest #RBILD
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nodules, asthma ... vasculitis, ulcers, nodules ... anti-GBM) Other tests ... Renal #Syndromes #differential ... diagnosis #management #treatment
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
in interstitial pulmonary ... Nodular or irregular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
starting amiodarone treatment ... nodules and masses ... • Reticular + Nodular ... Exclusion of other ILDs ... confirmatory findings on HRCT