Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Pattern #NodularPattern ... Comparison #Table #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #NodularPattern ... #Comparison #Diagram ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
- Sarcoidosis: perilymphatic ... ring sign'. - Centrilobular ... #Clinical #Diagnosis ... #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Lung cysts (LAM, LIP ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Diagram ... Emphysema #SignetRing #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
in ground glass pattern ... , NSIP, DIP. - Centrilobular ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary ... #CTChest #GGO #
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 ... #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... On a chest X-ray ... to confirm the diagnosis ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
with a benign pattern ... mm depends on clinical ... definitive tissue diagnosis ... #CTChest #Fleischner ... Society #Followup #Pulmonary
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... broad differential diagnosis ... #Clinical #Radiology ... #CTChest #RBILD ... RespiratoryBronchiolitis #ILD #RadiologyAssistant