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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Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis: ill ... defined centrilobular ... Hypersensitivity pneumonitis: centrilobular ... Radiology #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
defined centrilobular ... bronchiolitis: ill ... defined centrilobular ... Radiology #Pulmonary #CTChest ... 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
Tree-in-bud In centrilobular ... irregular and often nodular ... or pus-filled) centrilobular ... Radiology #Pulmonary #CTChest ... TreeInBud #Diagram #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Nodular LCH: - Sarcoidosis ... ring sign'. - Centrilobular ... Diagnosis #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
related diseases (centrilobular ... bronchiolitis (RB-ILD ... #Upper #Lower #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... Notice the centrilobular ... Radiology #HRCT #CTChest ... Comparison #Table #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... perilymphatic, random and centrilobular ... distribution is likely centrilobular ... Pulmonary #HRCT #CTChest ... Differential #Algorithm #RadiologyAssistant
Sometimes the centrilobular opacities are more nodular in appearance as in this case. #Clinical #Radiology #CTChest
Sometimes the centrilobular ... opacities are more nodular ... Clinical #Radiology #CTChest ... #Centrilobular ... #RadiologyAssistant
Ill defined centrilobular nodules of ground glass density in a patient with hypersensitivity pneumonitis #Clinical #Radiology
Ill defined centrilobular ... Clinical #Radiology #CTChest ... HypersenstitivityPneumonitis #Centrilobular ... #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... Radiology #HRCT #CTChest ... Comparison #Table #RadiologyAssistant