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
- Diffuse consolidation ... opacities - Fine Nodular ... interstitial opacities Nodule ... Solitary Pulmonary Nodule ... Clinical #Radiology #CXR
Whenever you see an area of increased density within the lung, it must be the result
resulting in lobar, diffuse ... opacities or small nodules ... . 3- Nodule or mass ... 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 ... presentation is a fine nodules ... When these small nodules ... NodularInterstitial #Nodular ... #Sarcoidosis #RadiologyAssistant
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
- Lung neoplasms ... granulomatous noduli ... are so small and diffuse ... Radiology #Pulmonary #CXR ... #Differential #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... in fact this is nodular ... interstitial lung ... Diagnosis #Radiology #CXR ... #Causes #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #Differential #Table ... #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
multiple ill-defined nodules ... the ill-defined nodules ... which are probably consolidations ... Clinical #Radiology #CXR ... SepticEmboli #Cavity #RadiologyAssistant
Wegener's granulomatosis
Wegener's is a collagen vascular disease with vasculitis involving the lung, kidney and sinuses.
In the
ill-defined areas of consolidation ... seen as multiple nodules ... Clinical #Radiology #CXR ... Granulomatosis #Multifocal #Nodules ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... patterns: reticular, nodular ... low attenuation (table ... seen and in many cases ... #Differential #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung ... nodules or a mass ... bronchial obstruction caused ... Clinical #Radiology #CXR ... Mucus #Plugging #RadiologyAssistant