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 #
Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
patterns. ... Varicella–Zoster virus NODULAR ... #Patterns #Pulmonary ... #Lung #Infections ... ComputedTomography #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
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 ... CXR #clinical #CT
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
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
nodules, asthma ... Other tests: β€’ CT ... sparing of the lung ... CT ... β€’ IF staining patterns
Progressive Massive Fibrosis aka Complicated Silicosis.
Silicosis is a fibrotic lung disease caused by inhalation of crystalline
is a fibrotic lung ... coalescence of the nodules ... Calcification (seen in CT ... typical eggshell pattern ... #labeled #pulmonary
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... cells results in a pattern ... Nodular or irregular ... #Diagnosis #Radiology ... #CTChest #Reticular