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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Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
pneumonitis: ill defined centrilobular ... Hypersensitivity pneumonitis: centrilobular ... #Clinical #Radiology ... #Pattern #Comparison ... #Table #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pneumonitis: ill defined centrilobular ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #Differential #Comparison ... #Table #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
ring sign'. - Centrilobular ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #Differential #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... Notice the centrilobular ... #Clinical #Radiology ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... #Clinical #Radiology ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes
Tree-in-bud In centrilobular ... irregular and often nodular ... or pus-filled) centrilobular ... Diagnosis #Pathophys #Radiology ... TreeInBud #Diagram #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
diagnosis in the nodular ... #Diagnosis #Radiology ... NodularPattern #Nodular ... Perilymphatic #Comparison ... #Diagram #RadiologyAssistant
Sometimes the centrilobular opacities are more nodular in appearance as in this case. #Clinical #Radiology #CTChest
Sometimes the centrilobular ... opacities are more nodular ... #Clinical #Radiology ... #Centrilobular ... #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... perilymphatic, random and centrilobular ... distribution is likely centrilobular ... #Diagnosis #Radiology ... Differential #Algorithm #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... #Clinical #Radiology ... HRCT #CTChest #Nodular ... #Pattern #Comparison ... #Table #RadiologyAssistant