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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Here are the most common examples of these four patterns on a chest x-ray (click image
opacities - Fine Nodular ... mass - Solitary Pulmonary ... Consolidation #Patterns #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
nodules and the nodular ... Diagnosis #Radiology #Pulmonary ... Perilymphatic #Nodular ... #Differential #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... histiocytosis: early nodular ... Diagnosis #Radiology #Pulmonary ... #CTChest #Nodular ... 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
irregular and often nodular ... Pathophys #Radiology #Pulmonary ... TreeInBud #Diagram #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... Diagnosis #Radiology #Pulmonary ... NodularPattern #Nodular ... Differential #Algorithm #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
and other non-pulmonary ... Pulmonary hemorrhage ... Pumonary cardiogenic ... in fact this is nodular ... Consolidation #Causes #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
diagnosis in the nodular ... Diagnosis #Radiology #Pulmonary ... NodularPattern #Nodular ... Comparison #Diagram #RadiologyAssistant
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash Β± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
hepatitis β€’ Pulmonary ... β€’ Ocular: uveitis ... Disease #diagnosis #management
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
patterns: reticular, nodular ... Diagnosis #Radiology #Pulmonary ... #Differential #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
HR-pattern: reticular nodular ... Diagnosis #Radiology #Pulmonary ... Algorithm #ILD #RadiologyAssistant