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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... edema. ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... dot. - LIP #Clinical ... #Diagnosis #Radiology ... #Cysts #Differential ... #Comparison #Table
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
along the central ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential # ... Algorithm #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
on HRCT is the ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Perilymphatic #Comparison ... #Diagram #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
gravitational distribution ... thickening of the central ... #Clinical #Radiology ... #Comparison #Table ... #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Cardiogenic pulmonary ... and perihilar distribution ... #Clinical #Radiology ... Reticular #Pattern #Comparison ... #Table #RadiologyAssistant
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
starts with a good history ... fatigue, altered mental ... with presence of pulmonary ... #diagnosis #differential ... algorithm #management #cardiology