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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11 results
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... perilymphatic distribution ... Clinical #Radiology #HRCT ... CTChest #Nodular #Pattern ... #Comparison #Table
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... NodularPattern #Nodular #Pattern
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... Centrilobular distribution ... Diagnosis #Radiology #Pulmonary ... #Nodular #Pattern ... Perilymphatic #Comparison
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
four patterns: ... common pattern ... The cystic pattern ... seen and in many cases ... Diagnosis #Radiology #Pulmonary
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... perilymphatic distribution ... Diagnosis #Radiology #Pulmonary ... CTChest #Nodular #Pattern ... #Differential #Comparison
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... of pulmonary fibrosis ... as a reticular pattern ... a reticular pattern ... This pattern was
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... , NSIP, DIP. - Centrilobular ... distribution: Hypersensitivity ... Diagnosis #Radiology #Pulmonary
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Cardiogenic pulmonary ... and perihilar distribution ... CTChest #Reticular #Pattern ... #Comparison #Table
Metastases
Metastases are the most common cause of multiple pulmonary masses.
Usually they vary in size and are
the most common cause ... of multiple pulmonary ... HRCT will demonstrate ... perilymphatic or centrilobular ... Clinical #Radiology #CXR
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 ... secondary lobule (centrilobular ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm