12 results
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... the nodules are diffuse ... #Diagnosis #Radiology ... Pulmonary #HRCT #CTChest ... #NodularPattern
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Miliary TB: random ... #Clinical #Diagnosis ... Radiology #Pulmonary #CTChest ... #NodularPattern ... #Differential #Comparison
The distribution of nodules shown on HRCT is the most important factor in making an accurate
making an accurate diagnosis ... in the nodular pattern ... Pulmonary #HRCT #NodularPattern ... #Nodular #Pattern ... Perilymphatic #Comparison
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Miliary TB: random ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... on a chest x-ray ... consolidation - Diffuse ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern ... mm) nodules • Diffusely ... process or (rarely) diffuse ... Differential Diagnosis ... pulmonary #CXR #clinical
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... - Metastases: random ... central dot. - LIP #Clinical ... #CTChest #Cystic ... #Differential #Comparison
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
Differential diagnosis of TB.
Primary TB: Acute bacterial pneumonia
Secondary TB: Sarcoidosis, Silicosis, Pneumoconiosis
Endobronchial spread of TB: Bronchopneumonia,
Differential diagnosis ... nodules have a random ... #Clinical #Diagnosis ... #Radiology #CTChest ... #MiliaryTB #Comparison
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 #