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
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... consolidation - Multifocal ill-defined ... opacities - Fine Nodular ... interstitial opacities ... Consolidation #Patterns #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
perilymphatic, random and centrilobular ... distribution is likely centrilobular ... bronchovascular interstitium ... Pulmonary #HRCT #CTChest ... Differential #Algorithm #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
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Thickening of the interstitium ... the alveoli) or interstitial ... , NSIP, DIP. - Centrilobular ... Radiology #Pulmonary #CTChest ... #Differential #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
The distribution of nodules shown on HRCT is the most important factor in making an accurate
diagnosis in the nodular ... perilymphatic, centrilobular ... peribronchovascular interstitium ... NodularPattern #Nodular ... Comparison #Diagram #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