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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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... reticular, nodular ... detected on a chest ... #Diagnosis #Radiology ... Pattern #Differential
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
the reticular pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Nodular #Pattern
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... on a chest x-ray ... opacities - Fine Nodular ... #Radiology #CXR ... Consolidation #Patterns
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pattern. 1. ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Pattern #NodularPattern ... #Differential #
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
is a histologic pattern ... of pulmonary fibrosis ... On a chest X-ray ... #Clinical #Radiology ... #Pattern #Honeycombing
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular ... pattern. ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Pattern #Distribution
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
the chest x-ray ... demonstrated a fine nodular ... #Clinical #Radiology ... #Sarcoidosis #Nodular ... Pattern #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... Kerley B lines on chest ... Nodular or irregular ... #Diagnosis #Radiology ... #Pulmonary #HRCT
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 ... #Radiology #Pulmonary ... #HRCT #CTChest