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 ... #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 ... #Radiology #CTChest ... Differential #Comparison #Table ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
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(LAM, LIP, Langerhans ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Diagram ... Emphysema #SignetRing #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... When the cysts have ... in many cases UIP ... #Diagnosis #Radiology ... #Pulmonary #CXR
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