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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Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... perilymphatic distribution ... #Comparison #Table ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... perilymphatic, random and centrilobular ... is likely centrilobular ... bronchovascular interstitium ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... perilymphatic distribution ... perilymphatic distribution ... Differential #Comparison #Table ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... In most cases small ... peribronchovascular interstitium ... Centrilobular distribution ... Comparison #Diagram #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
related diseases (centrilobular ... bronchiolitis (RB-ILD ... #Differential #Table ... #Distribution # ... Upper #Lower #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Multifocal ill-defined ... Nodule - Multiple Masses ... Consolidation #Patterns ... #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Thickening of the interstitium ... in ground glass pattern ... , NSIP, DIP. - Centrilobular ... distribution: Hypersensitivity ... #Differential #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
imaging findings in interstitial ... low attenuation (table ... whether there is interstitial ... seen and in many cases ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... have specific patterns ... IdiopathicInterstitialPneumonia #ILD ... #Findings #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 ... of distribution ... lobar pneumonia caused ... #RadiologyAssistant