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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 ... #Differential # ... RadiologyAssistant

Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic

Nodular pattern ... centrilobular nodules ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant

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

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

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

diseases with a nodular ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... NodularPattern #Differential ... Comparison #Table #RadiologyAssistant

#Clinical #Radiology #CXR #CTChest #Longstanding #Sarcoidosis #Fibrosis #Conglomerate #Nodules #RadiologyAssistant

#Clinical #Radiology ... #CXR #CTChest # ... #Conglomerate #Nodules ... #RadiologyAssistant

Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient

Nodular pattern( ... Sarcoidosis: nodules ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant

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 ... #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 ... narrowing the differential ... Diagnosis #Pathophys #Radiology ... #Pulmonary #CTChest ... TreeInBud #Diagram #RadiologyAssistant

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

patterns on a chest ... opacities - Fine Nodular ... Solitary Pulmonary Nodule ... Diagnosis #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant

Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round

Differential diagnosis ... Nodular LCH: - Sarcoidosis ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant

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