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 ... interstitial opacities Nodule ... Solitary Pulmonary Nodule ... - Multiple Masses ... #Patterns #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
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... centrilobular nodules ... HRCT #CTChest #NodularPattern ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... centrilobular nodules ... Sarcoidosis: nodules ... Pattern #Comparison #Table ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
distribution of nodules ... In most cases small ... nodules can be ... Pulmonary #HRCT #NodularPattern ... Comparison #Diagram #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
can present as consolidation ... 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
four patterns. 1- Consolidation ... or multifocal ill-defined ... opacities or small nodules ... . 3- Nodule or mass ... #Patterns #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... of the consolidation ... of x-rays with consolidation ... in fact this is nodular ... #Causes #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 ... The old name is ... #Differential #Table ... #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
present as multiple ill-defined ... nodules. ... nodules and a feeding ... which are probably consolidations ... SepticEmboli #Cavity #RadiologyAssistant