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
- Reticular interstitial ... opacities - Fine Nodular ... Nodule or mass ... Solitary Pulmonary Nodule ... #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... centrilobular nodules ... Miliary TB: random nodules ... Sarcoidosis: nodules ... #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 ... centrilobular nodules ... bronchovascular interstitium ... #Algorithm #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... pattern. 1. ... #Pattern #NodularPattern ... Differential #Comparison #Table ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
: reticular, nodular ... low attenuation (table ... is reticular. ... seen and in many cases ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
pattern. ... In most cases small ... peribronchovascular interstitium ... #Pattern #Distribution ... Comparison #Diagram #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
opacities. 2- Interstitial ... fine or coarse reticular ... opacities or small nodules ... . 3- Nodule or mass ... #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
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 ... #Diagnosis #Algorithm
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
In many cases a ... demonstrated a fine nodular ... #Sarcoidosis #Nodular ... #Interstitial # ... Pattern #RadiologyAssistant