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 ... Radiology #Pulmonary #CTChest ... #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 ... Radiology #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... Pulmonary #HRCT #CTChest ... #NodularPattern ... #RadiologyAssistant
Sometimes the centrilobular opacities are more nodular in appearance as in this case. #Clinical #Radiology #CTChest
opacities are more nodular ... appearance as in this case ... Clinical #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
centrilobular nodules ... opacity (80% of cases ... centrilobular nodules ... Clinical #Radiology #CTChest ... Centrilobular #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung nodules ... ABPA is a hypersensitivity ... bronchial obstruction caused ... Radiology #CXR #CTChest ... Mucus #Plugging #RadiologyAssistant
Here another case of subacute hypersensitivity pneumonitis.
There is subtle opacity in the centre of the secondary
Here another case ... Clinical #Radiology #CTChest ... #Hypersensitivity ... HypersensitivityPneumonitis #Nodular ... Centrilobular #RadiologyAssistant
Erythemas Summarized
Erythema ab igne
 β€’ A dermatosis that results from repeated exposure to heat (fires, heating
of delayed-type hypersensitivity ... Usually composed ... of papules + nodules ... Erythemas #comparison #table ... #dermatology #compared
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 Chest X-Ray ... seen and in many cases ... #Differential #RadiologyAssistant