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 - Diffuse ... consolidation - Multifocal ... opacities - Fine Nodular ... interstitial opacities Nodule ... Solitary Pulmonary Nodule
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... centrilobular nodules ... perilymphatic distribution ... Pattern #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 ... centrilobular nodules ... are diffuse and ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... perilymphatic distribution ... perilymphatic distribution ... 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 ... the pattern of distribution ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #Table #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
resulting in lobar, diffuse ... or multifocal ill-defined ... opacities or small nodules ... . 3- Nodule or mass ... Diagnosis #Radiology #CXR
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... cysts along with nodules ... septal thickening & nodules ... Diffuse distribution ... presentations - ILD
Wegener's granulomatosis
Wegener's is a collagen vascular disease with vasculitis involving the lung, kidney and sinuses.
In the
the vasculitis causes ... seen as multiple nodules ... Clinical #Radiology #CXR ... Granulomatosis #Multifocal ... #Nodules #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 ... to segmental, diffuse ... or multifocal ill-defined ... Diagnosis #Radiology #CXR ... #Differential #RadiologyAssistant