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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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
: reticular, nodular ... low attenuation (table ... The cystic pattern ... seen and in many cases ... #Differential #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pattern. 1. ... before the typical cysts ... #Pattern #NodularPattern ... Differential #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 ... HRCT #CTChest #NodularPattern ... #Nodular #Pattern ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... Interstitial - Reticular ... - Multiple Masses ... Consolidation #Patterns ... #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... Sarcoidosis: nodules ... before the typical cysts ... #Pattern #Comparison ... #Table #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
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Cystic versus Reticular ... pattern or a cystic ... pattern. ... In many of such cases ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... attenuation (emphysema, cystic ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
chest film is a reticular ... patern and that's ... was caused by multiple ... cysts. ... #RadiologyAssistant
Key findings in alveolar proteinosis
- Crazy paving pattern: reticular pattern superimposed on ground glass opacification.
- Opacifications
- Crazy paving pattern ... : reticular pattern ... interlobular and intra-lobular ... This is caused by ... #CrazyPaving #RadiologyAssistant