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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On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Hypersensitivity ... Hypersensitivity ... #Pattern #NodularPattern ... Differential #Comparison #Table ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity ... Hypersensitivity ... pneumonitis: centrilobular ... Pattern #Comparison #Table ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... perilymphatic, random and centrilobular ... distribution is likely centrilobular ... HRCT #CTChest #NodularPattern ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
In most cases small ... perilymphatic, centrilobular ... , centrilobular ... Pulmonary #HRCT #NodularPattern ... Comparison #Diagram #RadiologyAssistant
Ill defined centrilobular nodules of ground glass density in a patient with hypersensitivity pneumonitis #Clinical #Radiology
Ill defined centrilobular ... nodules of ground ... a patient with hypersensitivity ... Radiology #CTChest #Hypersenstitivity ... #RadiologyAssistant
Sometimes the centrilobular opacities are more nodular in appearance as in this case. #Clinical #Radiology #CTChest
Sometimes the centrilobular ... appearance as in this case ... Radiology #CTChest #Hypersensitivity ... #Centrilobular ... #RadiologyAssistant
Subacute hypersensitivity pneumonitis
The key findings in the subacute hypersensitivity pneumonitis are:
ill-defined centrilobular nodules of ground-glass opacity
are: ill-defined centrilobular ... nodules of ground-glass ... opacity (80% of cases ... nodules of ground-glass ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
related diseases (centrilobular ... histiocytosis - Hypersensitivity ... #Differential #Table ... #Upper #Lower #RadiologyAssistant
Here another case of subacute hypersensitivity pneumonitis.
There is subtle opacity in the centre of the secondary
Here another case ... of subacute hypersensitivity ... HypersensitivityPneumonitis #Nodular ... #Subacute #Centrilobular ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... ring sign'. - Centrilobular ... Differential #Comparison #Table ... #RadiologyAssistant