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
- Multifocal ill-defined ... - Fine Nodular ... Nodule or mass ... - Multiple Masses ... #Patterns #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Hypersensitivity pneumonitis: ill ... bronchiolitis: ill ... #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 ... bronchovascular interstitium ... HRCT #CTChest #NodularPattern ... #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 ... Lung #Diseases #ILD ... #Causes #Differential
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
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
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
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. 2- Interstitial ... . 3- Nodule or mass ... #Patterns #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
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
The idiopathic interstitial ... indicates unknown cause ... listed in the table ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant