Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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clinical pulmonary comparison differential pattern ild cxr interstitial cystic honeycombing pneumonitis reticular algorithm consolidation diagram distribution fleischner hypersensitivitypneumonitis lowattenuation mimic
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Perilymphatic distribution Perilymphatic nodules are most commonly seen in sarcoidosis. They also occur in silicosis, coal-worker's pneumoconiosis and
in differential diagnosis ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #RadiologyAssistant
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema. Peripheral distribution is mainly seen in cryptogenic
pneumonia and UIP ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Table ... Central #Peripheral #RadiologyAssistant
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
is seen in: - UIP ... Pulmonary edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT ... #Differential #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 ... #CTChest #NodularPattern ... Differential #Algorithm #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis. Nodular LCH: - Sarcoidosis: perilymphatic distribution. - Metastases: random distribution. Cystic LCH: - LAM: round
Nodular LCH: - Sarcoidosis ... central dot. - LIP ... #Radiology #CTChest ... Differential #Comparison #Table ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
Lung cysts (LAM, LIP ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
patterns: reticular, nodular ... low attenuation (table ... in many cases UIP ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
#Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
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