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
pattern. 1. ... Hypersensitivity pneumonitis ... #Pattern #NodularPattern ... Differential #Comparison #Table ... #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 defined centrilobular ... : centrilobular ... #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 ... HRCT #CTChest #NodularPattern ... #Nodular #Pattern ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
pattern. ... In most cases small ... Pulmonary #HRCT #NodularPattern ... #Nodular #Pattern ... Comparison #Diagram #RadiologyAssistant
Subacute hypersensitivity pneumonitis
The key findings in the subacute hypersensitivity pneumonitis are:
ill-defined centrilobular nodules of ground-glass opacity
are: ill-defined centrilobular ... nodules of ground-glass ... opacity (80% of cases ... ) or mosaic pattern ... #RadiologyAssistant
Sometimes the centrilobular opacities are more nodular in appearance as in this case. #Clinical #Radiology #CTChest
Sometimes the centrilobular ... appearance as in this case ... Hypersensitivity #Pneumonitis ... #Centrilobular ... #RadiologyAssistant
Here another case of subacute hypersensitivity pneumonitis.
There is subtle opacity in the centre of the secondary
Here another case ... hypersensitivity pneumonitis ... HypersensitivityPneumonitis #Nodular ... #Subacute #Centrilobular ... #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
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
with ground glass pattern ... presents with centrilobular ... nodules of ground ... density (acinar nodules ... HypersenstitivityPneumonitis #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
idiopathic interstitial pneumonias ... indicates unknown cause ... listed in the table ... have specific patterns ... ILD #Findings #RadiologyAssistant