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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Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... centrilobular nodules ... Sarcoidosis: nodules ... Clinical #Radiology #HRCT ... #Table #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Diffuse ... opacities - Fine Nodular ... interstitial opacities Nodule ... Solitary Pulmonary Nodule ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... are diffuse and ... Radiology #Pulmonary #HRCT ... #Algorithm #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
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... reticular, nodular ... low attenuation (table ... seen and in many cases ... #Differential #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
pneumonitis The key findings ... The HRCT shows a ... hyperaerated secondary nodules ... and secondry nodules ... 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 ... #RadiologyAssistant
Subacute hypersensitivity pneumonitis
The key findings in the subacute hypersensitivity pneumonitis are:
ill-defined centrilobular nodules of ground-glass opacity
pneumonitis The key findings ... centrilobular nodules ... ) or mosaic pattern ... centrilobular nodules ... HypersensitivityPneumonitis #Nodular
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... on HRCT and histology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... there additional findings ... Interpretation #Algorithm ... #ILD #RadiologyAssistant