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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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 ... NodularPattern #Differential ... #Comparison #Table
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... centrilobular nodules ... #Clinical #Radiology ... HRCT #CTChest #Nodular ... Pattern #Comparison #Table
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
and the nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Perilymphatic #Nodular ... #Differential #
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 ... Pattern #Comparison #Table
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 #
Here are the most common examples of these four patterns on a chest x-ray (click image
opacities - Fine Nodular ... mass - Solitary Pulmonary ... Nodule - Multiple ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR
Highlighted Conditions With Arteritis or Periarteritis of the Coronaries
Takayasu's arteritis:
 - Onset < 40 yrs
 -
sinusitis - pulmonary ... Ulceration GI tract - Ocular ... Coronaries #Arteritis #Differential ... #Diagnosis #Cardiology ... #Table
Pulmonary Tuberculosis - Patterns of Involvement
 β€’ Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... Inhomogeneous patchy nodular ... Pal @drdevrad #Pulmonary ... #chest #xray #clinical ... #radiology #CXR
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... #Comparison #Table
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 ... Diagnosis #Pathophys #Radiology ... #Pulmonary #CTChest