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 ... the nodules are diffuse ... #HRCT #CTChest ... #Nodules #Differential
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... reticular, nodular ... seen and in many cases ... Diagnosis #Radiology #Pulmonary ... #Differential #
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the overlap in differential ... the reticular pattern ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... #Differential #
Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... consolidation - Diffuse ... opacities - Fine Nodular ... mass - Solitary Pulmonary ... Nodule - Multiple Masses
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Diagnosis Algorithm ... lymphadenopathy more diffuse ... involvement, irregular pattern ... Lymphoproliferative #Disorders #Classification ... #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 ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... has a limited differential ... in interstitial pulmonary ... Nodular or irregular ... #HRCT #CTChest