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
Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... #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 ... are diffuse and ... #Diagnosis #Radiology ... #NodularPattern ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis: ill ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... consolidation - Diffuse ... - Multiple Masses ... Diagnosis #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
you think of the causes ... or tumor cells (Table ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... Differential #Comparison #Table ... #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
nodules. ... nodules and a feeding ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #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 ... #Diagnosis #Radiology ... #Differential #Table ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Findings #RadiologyAssistant
Lobar pneumonia
On the chest x-ray there is an ill-defined area of increased density in the right
pneumonia On the chest ... x-ray there is an ill-defined ... Notice the air-bronchogram ... #Clinical #Radiology ... Lobar #Pneumonia #RadiologyAssistant