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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Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... - Reticular interstitial ... opacities - Fine Nodular ... Nodule or mass ... #Clinical #Radiology
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic nodules ... and the nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Nodular #Differential
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Nodular #Pattern
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
reticular, nodular ... On a Chest X-Ray ... detected on a chest ... #Diagnosis #Radiology ... #Pulmonary #CXR
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
this case the chest ... demonstrated a fine nodular ... #Clinical #Radiology ... #Sarcoidosis #Nodular ... Pattern #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Kerley B lines on chest ... Nodular or irregular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... On a chest X-ray ... to confirm the diagnosis ... #Clinical #Radiology ... #Interstitial #
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
for follow-up of nodules ... Previous chest ... with a benign pattern ... #Management #Radiology ... #Nodules #RadiologyAssistant
Based on the images alone, it is usually not possible to determine the cause of the
between these chest ... in fact this is nodular ... interstitial lung ... #Clinical #Diagnosis ... #Radiology #CXR