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 ... pattern The algorithm ... are visible, the pattern ... the nodules are diffuse ... #Pattern #MultipleNodules
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... nodules and the nodular ... the reticular pattern ... Diagnosis #Radiology #Pulmonary ... #Nodular #Differential
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pattern. 1. ... : nodules with perilymphatic ... Diagnosis #Radiology #Pulmonary ... #Pattern #NodularPattern ... #Differential #
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... there are four patterns ... : reticular, nodular ... seen and in many cases ... Diagnosis #Radiology #Pulmonary
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Diffuse ... opacities - Fine Nodular ... mass - Solitary Pulmonary ... Consolidation #Patterns
The distribution of nodules shown on HRCT is the most important factor in making an accurate
diagnosis in the nodular ... pattern. ... In most cases small ... Diagnosis #Radiology #Pulmonary ... #Pattern #Distribution
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... to look at the pattern ... more than one pattern ... lobar pneumonia caused ... Diagnosis #Radiology #Pulmonary
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Lymphoproliferative Disorders - Differential ... Diagnosis Algorithm ... lymphadenopathy more diffuse ... involvement, irregular pattern ... #algorithm
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Goodpasture's cause ... leading to diffuse ... hemorrhage (DAH) β€’ Diffuse ... β€’ IF staining patterns ... Renal #Syndromes #differential
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... centrilobular, perilymphatic ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm