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 ... #Patterns #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
presentation is a fine nodules ... When these small nodules ... NodularInterstitial #Nodular ... #Interstitial #Pattern ... #Sarcoidosis #RadiologyAssistant
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
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
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Lung Disease (DCLD ... cysts along with nodules ... septal thickening & nodules ... LCDD, SS Cyst pattern ... presentations - ILD
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
: reticular, nodular ... low attenuation (table ... on a CXR. ... seen and in many cases ... #Differential #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 ... (ground-glass, consolidation ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Hemorrhage
In this case there was a solitary nodule in the right upper lobe and a biopsy
was a solitary nodule ... The lobar consolidation ... anticoagulantion therapy, diffuse ... Clinical #Radiology #CXR ... Pulmonary #Hemorrhage #RadiologyAssistant
Wegener's granulomatosis
Wegener's is a collagen vascular disease with vasculitis involving the lung, kidney and sinuses.
In the
the vasculitis causes ... areas of consolidation ... seen as multiple nodules ... Granulomatosis #Multifocal #Nodules ... #RadiologyAssistant