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
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 ... HRCT #CTChest #NodularPattern ... #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
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
It is very important to differentiate between acute consolidation and chronic consolidation, because it will limit
and chronic consolidation ... granulomatous noduli ... are so small and diffuse ... Radiology #Pulmonary #CXR ... #Differential #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
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... of the consolidation ... in fact this is nodular ... Diagnosis #Radiology #CXR ... #Causes #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
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
patterns: reticular, nodular ... low attenuation (table ... On a CXR the most ... seen and in many cases ... #Differential #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