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

Perilymphatic nodules ... are most commonly ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... #Differential #RadiologyAssistant

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

These are often ... are visible, the ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... Differential #Algorithm #RadiologyAssistant

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

Here are the most ... patterns on a chest ... mass - Solitary Pulmonary ... Nodule - Multiple ... Consolidation #Patterns #RadiologyAssistant

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

diseases with a nodular ... centrilobular nodules ... Diagnosis #Radiology #Pulmonary ... #CTChest #Nodular ... Comparison #Table #RadiologyAssistant

On the left another typical case of sarcoidosis.
In addition to the perilymphatic nodules, there are multiple

another typical case ... perilymphatic nodules ... Clinical #Radiology #CTChest ... Peribronchovascular #Nodular ... #RadiologyAssistant

Chest XRay Nodule / Mass Pattern - Differential Algorithm #Diagnosis #Radiology #Pulmonary #CXR #Nodule #Mass #Pattern

Chest XRay Nodule ... Diagnosis #Radiology #Pulmonary ... #CXR #Nodule #Mass ... Differential #Algorithm #RadiologyAssistant

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

centrilobular nodules ... irregular and often nodular ... Pathophys #Radiology #Pulmonary ... #CTChest #TreeInBud ... #Diagram #RadiologyAssistant

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

Nodules are almost ... are limited to ... are centered 5- ... Diagnosis #Radiology #Pulmonary ... Comparison #Diagram #RadiologyAssistant

Solid pulmonary nodules can represent various etiologies:
- benign granulomas
- focal scar
- intrapulmonary lymph nodes
- primary malignancies
-

Solid pulmonary ... nodules can represent ... Perifissural nodules ... Diagnosis #Radiology #Pulmonary ... PulmonaryNodule #Followup #RadiologyAssistant

Pulmonary Nodule
Evaluation is guided by nodule size & assessment of probability of malignancy. In addition is

Pulmonary Nodule ... Pulmonary nodules ... Nodules that are ... growth with chest ... nodules are managed

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