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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Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
in differential diagnosis ... nodules and the nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Nodular #Differential
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... to distinguish perilymphatic ... dealing with a periplymphatic ... #Diagnosis #Radiology ... #Pulmonary #HRCT
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... : nodules with perilymphatic ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... : nodules with perilymphatic ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... making an accurate diagnosis ... in the nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
: nodules with perilymphatic ... : nodules with perilymphatic ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... 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 ... : perilymphatic ... #Radiology #CTChest ... Differential #Comparison #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... on HRCT Most of ... patterns: reticular, nodular ... low attenuation (table ... #Diagnosis #Radiology
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 ... HR-pattern: reticular nodular ... centrilobular, perilymphatic ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
limited differential diagnosis ... (Table). ... Nodular or irregular ... #Diagnosis #Radiology ... #Pulmonary #HRCT