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 ... the nodules are diffuse ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Algorithm #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... perilymphatic distribution ... Clinical #Radiology #HRCT ... #CTChest #Nodular ... #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( ... perilymphatic distribution ... Clinical #Radiology #HRCT ... #CTChest #Nodular ... #Table #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... seen and in many cases ... #Differential # ... RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic distribution ... the reticular pattern ... Radiology #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
The table summarizes ... to look at the pattern ... of distribution ... lobar pneumonia caused ... #Table #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Radiology #Pulmonary #CTChest ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... Centrilobular distribution ... #GroundGlass #Differential ... #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
with ground glass pattern ... in a mosaic distribution ... The differential ... are confluent, HRCT ... shows diffuse ground
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... incidental finding in HRCT ... and perihilar distribution ... #CTChest #Reticular ... #Table #RadiologyAssistant