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Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... #Diagnosis #Radiology ... #NodularPattern ... #Nodular #Pattern
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Miliary TB: random ... #Clinical #Diagnosis ... #Nodular #Pattern ... #NodularPattern
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern ... mm) nodules • Diffusely ... PulmPEEPs #Miliary #Pattern ... pulmonary #CXR #clinical ... #CT
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Diffuse ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... Consolidation #Patterns
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Patterns - Differential ... Diagnosis Framework ... Nodular: • Random ... #CT #Patterns #
Tree-in-Bud Sign on Chest CT
 • Multiple centrilobular nodules arranged in a linear branching pattern.
 •
CT • Multiple ... linear branching pattern ... TreeInBud #Sign #CT ... Lung #Pulmonary #diagnosis ... #radiology #clinical
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT ... capillaritis leading to diffuse ... hemorrhage (DAH) • Diffuse ... CT ... • IF staining patterns
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... perilymphatic or random ... bronchiectasis) #Diagnosis ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
with ground glass pattern ... The differential diagnosis ... confluent, HRCT shows diffuse ... #Clinical #Radiology ... #CTChest #GGO #
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
nodules Previous chest ... with a benign pattern ... mm depends on clinical ... definitive tissue diagnosis ... Management #Radiology #CTChest