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
Algorithm for nodular ... are diffuse and ... #Diagnosis #Radiology ... Pulmonary #HRCT #CTChest ... #Differential #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
perilymphatic distribution ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... NodularPattern #Differential ... #Comparison #Table
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #Table
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... HRCT #ChestCT #Differential ... #Table #Distribution ... #Upper #Lower #
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... cysts along with nodules ... Diffuse distribution ... presentations - ILD ... #Diagnosis #differential
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
pattern in a mosaic distribution ... The differential ... confluent, HRCT shows diffuse ... #Clinical #Radiology ... #CTChest #GGO #
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... UIP has a strong lower ... zone distribution ... Clinical #Diagnosis #Radiology ... #CTChest #UIP #
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
HR-pattern: reticular nodular ... an upper versus lower ... bronchiectasis) #Diagnosis #Radiology ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm