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 ... perilymphatic distribution ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic distribution ... and the nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Perilymphatic #Nodular
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... perilymphatic distribution ... histiocytosis: early nodular ... #HRCT #CTChest ... #Nodular #Pattern
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... NodularPattern #Nodular ... Differential #Algorithm #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
on HRCT is the ... in the nodular ... #Diagnosis #Radiology ... NodularPattern #Nodular ... Comparison #Diagram #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
in a mid zone distribution ... The HRCT shows a ... #Clinical #Radiology ... #Pneumonitis #HypersensitivityPneumonitis ... Chronic #Fibrosis #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... Comparison #Table #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... LIP #Clinical #Diagnosis ... #Radiology #CTChest ... Comparison #Table #RadiologyAssistant
This patient presented with acute dyspnoe and a normal chest film (not shown).
The HRCT at presentation
(left) shows lobular ... A control HRCT ten ... #Clinical #Radiology ... #Pneumonitis #HypersensitivityPneumonitis ... #Resolution #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
pattern in a mosaic distribution ... The differential diagnosis ... are confluent, HRCT ... #Clinical #Radiology ... #RadiologyAssistant