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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Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
nodules and the nodular ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... Perilymphatic #Nodular ... #Differential #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
effusion; sometimes pneumothorax ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... Comparison #Table #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Clinical #Radiology #HRCT ... #CTChest #Nodular ... Comparison #Table #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... histiocytosis: early nodular ... Clinical #Radiology #HRCT ... #CTChest #Nodular ... Comparison #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation ... Emphysema #SignetRing #RadiologyAssistant
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
this case the chest ... In many cases a HRCT ... The HRCT - not shown ... #Sarcoidosis #Nodular ... Interstitial #Pattern #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... NodularPattern #Nodular ... Differential #Algorithm #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On HRCT there are ... patterns: reticular, nodular ... On a Chest X-Ray ... Diagnosis #Radiology #Pulmonary ... #Differential #RadiologyAssistant
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... treated for a prior pneumothorax ... assume that the pneumothorax ... airways leading to pulmonary ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
patterns on a chest ... opacities - Fine Nodular ... mass - Solitary Pulmonary ... Consolidation #Patterns #RadiologyAssistant