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
- Diffuse consolidation ... opacities - Fine Nodular ... interstitial opacities Nodule ... Solitary Pulmonary Nodule ... #Patterns #RadiologyAssistant
Sarcoidosis
On a CXR sarcoidosis usually first presents with hilar and mediastinal lymphadenopathy (example).
Parenchymal disease can present
presentation is a fine nodules ... When these small nodules ... NodularInterstitial #Nodular ... #Interstitial #Pattern ... #Sarcoidosis #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
resulting in lobar, diffuse ... opacities or small nodules ... . 3- Nodule or mass ... Diagnosis #Radiology #CXR ... #Patterns #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... to look at the pattern ... lobar pneumonia caused ... Radiology #Pulmonary #CXR ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
: reticular, nodular ... low attenuation (table ... seen and in many cases ... UIP can be suspected ... #Differential #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
In most cases these ... to segmental, diffuse ... small and fill up ... Diagnosis #Radiology #CXR ... #Differential #RadiologyAssistant
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
cysts along with nodules ... septal thickening & nodules ... - LIP/FB, LCDD ... , SS Cyst pattern ... presentations - ILD
Wegener's granulomatosis
Wegener's is a collagen vascular disease with vasculitis involving the lung, kidney and sinuses.
In the
the vasculitis causes ... areas of consolidation ... seen as multiple nodules ... Granulomatosis #Multifocal #Nodules ... #RadiologyAssistant
Hemorrhage
In this case there was a solitary nodule in the right upper lobe and a biopsy
was a solitary nodule ... The lobar consolidation ... anticoagulantion therapy, diffuse ... Clinical #Radiology #CXR ... Pulmonary #Hemorrhage #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
characterized by diffuse ... The histologic pattern ... or patchy consolidation ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant