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
Interstitial - ... Reticular interstitial ... Nodule or mass ... - Multiple Masses ... #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 ... bronchovascular interstitium ... HRCT #CTChest #NodularPattern ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... centrilobular nodules ... #Pattern #NodularPattern ... Differential #Comparison #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 ... interstitial lung ... #Causes #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
Consolidation is ... you think of the causes ... or tumor cells (Table ... the alveoli and cause ... #Differential #RadiologyAssistant
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 β€’ (UIP) Usual Interstitial Pneumonia
Causes of Interstitial ... Differential Diagnosis Algorithm ... Metastases to lung as nodules ... Diseases #ILD #Causes ... Differential #Diagnosis #Algorithm
The distribution of nodules shown on HRCT is the most important factor in making an accurate
distribution of nodules ... In most cases small ... peribronchovascular interstitium ... Pulmonary #HRCT #NodularPattern ... Comparison #Diagram #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Non specific interstitial ... Sarcoidosis end-stage: consolidation ... Pattern #Comparison #Table ... #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
can present as consolidation ... or even as masses ... they may resemble consolidation ... #Interstitial # ... #Sarcoidosis #RadiologyAssistant
Multiple masses
The differential diagnostic list of multiple masses is very long.
The most important diagnoses are listed
Multiple masses ... listed in the table ... differentiate multifocal consolidations ... from masses. ... #Differential #RadiologyAssistant