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
opacities - Fine Nodular ... Solitary Pulmonary Nodule ... - Multiple Masses ... Clinical #Radiology #CXR ... #Patterns #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... in number, the distribution ... HRCT #CTChest #NodularPattern ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
perilymphatic distribution ... perilymphatic distribution ... #Pattern #NodularPattern ... Differential #Comparison #Table ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
The distribution ... In most cases small ... Pulmonary #HRCT #NodularPattern ... #Distribution # ... Comparison #Diagram #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 ... #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
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
The most common cause ... from the various causes ... heart failure like redistribution ... Radiology #Pulmonary #CXR ... #Differential #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
with multifocal consolidations ... multiple ill-defined masses ... is a peripheral distribution ... Clinical #Radiology #CXR ... OrganizingPneumonia #BOOP #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
Sarcoidosis On a CXR ... can present as consolidation ... they may resemble consolidation ... Clinical #Radiology #CXR ... #Sarcoidosis #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