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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Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Multifocal ... ill-defined consolidations ... - Multiple Masses ... Clinical #Radiology #CXR ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... are visible, the pattern ... bronchovascular interstitium ... #Algorithm #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
: reticular, nodular ... On a CXR the most ... on a CXR. ... seen and in many cases ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
pattern. ... In most cases small ... peribronchovascular interstitium ... #Pattern #Distribution ... Comparison #Diagram #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
lobar, diffuse or multifocal ... ill-defined opacities ... . 2- Interstitial ... Diagnosis #Radiology #CXR ... #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
demonstrated a fine nodular ... Clinical #Radiology #CXR ... #Sarcoidosis #Nodular ... #Interstitial # ... Pattern #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
to look at the pattern ... of distribution ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... Differential #Table #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Sarcoidosis On a CXR ... Clinical #Radiology #CXR ... #Interstitial # ... Pattern #Sarcoidosis ... #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
are dealing with multifocal ... masses. ... is a peripheral distribution ... Clinical #Radiology #CXR ... OrganizingPneumonia #BOOP #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
In most cases these ... In some cases however ... densities is interstitial ... Diagnosis #Radiology #CXR ... #Differential #RadiologyAssistant