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
and the nodular ... the reticular pattern ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
diseases with a nodular ... histiocytosis: early nodular ... #Pulmonary #CTChest ... #Nodular #Pattern ... NodularPattern #Differential
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Nodular #Pattern ... #Differential #
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... : reticular, nodular ... #Diagnosis #Radiology ... #Pulmonary #CXR
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... on a chest x-ray ... opacities - Fine Nodular ... mass - Solitary Pulmonary ... Masses Atelectasis
Tree-in-bud
In centrilobular nodules the recognition of 'tree-in-bud' is of value for narrowing the differential diagnosis.
Tree-in-bud describes
centrilobular nodules ... narrowing the differential ... irregular and often nodular ... identified in the lung ... #Pulmonary #CTChest
Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
Etiologies of pulmonary ... Varicella–Zoster virus NODULAR ... #Pulmonary #Lung ... ComputedTomography #Differential ... #Diagnosis #Chest
The distribution of nodules shown on HRCT is the most important factor in making an accurate
diagnosis in the nodular ... pattern. ... structures of the lung ... #Pulmonary #HRCT ... NodularPattern #Nodular
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
- Chest Radiology ... small (1 -4 mm) nodules ... throughout the lungs ... #Chest #Radiology ... diagnosis #pulmonary
Based on the images alone, it is usually not possible to determine the cause of the
determine the cause ... between these chest ... in fact this is nodular ... interstitial lung ... Consolidation #Causes