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
of these four patterns ... - Multifocal ill-defined ... - Multiple Masses ... Clinical #Radiology #CXR ... #Patterns #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... centrilobular nodules ... #Pattern #Comparison ... #Table #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pattern. 1. ... bronchiolitis: ill ... #Pattern #NodularPattern ... #Differential #Comparison ... #Table #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... to look at the pattern ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
: reticular, nodular ... low attenuation (table ... seen and in many cases ... UIP can be suspected ... #Differential #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
. 1- Consolidation ... or multifocal ill-defined ... the amount of air ... Diagnosis #Radiology #CXR ... #Patterns #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Sarcoidosis On a CXR ... can present as consolidation ... Clinical #Radiology #CXR ... #Interstitial #Pattern ... #Sarcoidosis #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
x-ray there is an ill-defined ... Notice the air-bronchogram ... of chronic consolidation ... Clinical #Radiology #CXR ... Lobar #Pneumonia #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
maybe there is an air-bronchogram ... with multifocal consolidations ... masses. ... Clinical #Radiology #CXR ... OrganizingPneumonia #BOOP #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
nodules. ... nodules and a feeding ... which are probably consolidations ... Clinical #Radiology #CXR ... SepticEmboli #Cavity #RadiologyAssistant