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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Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern ... MultipleNodules #Nodules #Differential ... #Algorithm #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... on the basis of HRCT ... LowAttenuation #Differential ... #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... on HRCT Most of ... low attenuation (table ... #Differential # ... 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 ... Clinical #Radiology #HRCT ... #Comparison #Table ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #NodularPattern ... #Differential # ... Comparison #Table ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... Radiology #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution ... #Upper #Lower #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... in the nodular pattern ... #NodularPattern ... Perilymphatic #Comparison #Diagram ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... morphologic findings on HRCT ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... The table summarizes ... to look at the pattern ... more than one pattern ... #Table #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... the dominant HR-pattern ... Radiology #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant