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
on a chest x-ray ... Consolidation - Lobar ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis ... #RadiologyAssistant
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 ... pneumonia caused ... #Pulmonary #CXR ... #Table #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential # ... Comparison #Table #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the reticular pattern ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential ... #RadiologyAssistant
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 ... #Pulmonary #CXR ... RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Nodular #Pattern ... #Algorithm #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... between these chest ... Lobar pneumonia ... #Clinical #Diagnosis ... #RadiologyAssistant
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
has a limited differential ... The most common causes ... produces only mild ... #Patterns #Comparison ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
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 ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest ... #RadiologyAssistant