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
of these four patterns ... - Diffuse consolidation ... - Multifocal ill-defined ... - Multiple Masses ... #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 ... more than one pattern ... lobar pneumonia caused ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... centrilobular nodules ... #Pattern #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 ... are visible, the pattern ... are diffuse and ... #Algorithm #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pattern. 1. ... bronchiolitis: ill ... #Pattern #NodularPattern ... Differential #Comparison #Table ... #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... . 1- Consolidation ... resulting in lobar, diffuse ... or multifocal ill-defined ... #Patterns #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... : reticular, nodular ... low attenuation (table ... seen and in many cases ... #Differential #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 #Pattern ... #Sarcoidosis #RadiologyAssistant
Multifocal
Multifocal consolidations are also described as multifocal ill-defined opacities or densities.
In most cases these are the
Multifocal Multifocal consolidations ... In most cases these ... to segmental, diffuse ... In some cases however ... #Differential #RadiologyAssistant
Diffuse consolidation in bronchopneumonia
Here another case of diffuse consolidation.
This patient had fever and cough.
This was thought
Diffuse consolidation ... of diffuse consolidation ... to multifocal ill-defined ... Bronchopneumonia can be caused ... #RadiologyAssistant