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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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
: reticular, nodular ... low attenuation (table ... The cystic pattern ... seen and in many cases ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Miliary TB: random ... nodules 3. ... #Pattern #Comparison ... #Table #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... - Metastases: random ... Cystic LCH: - LAM ... #Comparison #Table ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... perilymphatic, random ... bronchovascular interstitium ... #Algorithm #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
pattern. ... In most cases small ... peribronchovascular interstitium ... Perilymphatic #Comparison ... #Diagram #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... - Multiple Masses ... Clinical #Radiology #CXR ... Consolidation #Patterns ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pattern. 1. ... Miliary TB: random ... before the typical cysts ... #Differential #Comparison ... #Table #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 ... before the typical cysts ... #Pattern #Comparison ... #Table #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
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
or a cystic pattern ... The CXR is of a ... In many of such cases ... #Interstitial # ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant