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
Nodular pattern ... Hypersensitivity pneumonitis ... #Clinical #Radiology ... #Pattern #Comparison ... #Table #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pattern. 1. ... Hypersensitivity pneumonitis ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... Comparison #Table #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
hypersensitivity pneumonitis ... are: Mosaic pattern ... shows a mosaic pattern ... #Clinical #Radiology ... Chronic #Fibrosis #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... specific interstitial pneumonitis ... #Clinical #Radiology ... HighAttenuation #Pattern ... Comparison #Table #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
opacities - Fine Nodular ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... #RadiologyAssistant
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... associated with a clinical ... #Clinical #Diagnosis ... #Radiology #Honc ... PulmonaryComplications #Patterns
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... #Clinical #Radiology ... HRCT #CTChest #Nodular ... #Pattern #Comparison ... #Table #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... : reticular, nodular ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... SeptalThickening #CHF ... #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 ... the reticular pattern ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #RadiologyAssistant