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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Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
next to pleura and ... #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
before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
multiple round and ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant
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 ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
patterns: reticular, nodular ... (table). ... The cystic pattern ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
HRCT findings in ... irregular or stellate nodules ... #Clinical #Radiology ... #CTChest #LCH # ... Histiocytosis #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
HR-pattern: reticular nodular ... attenuation (emphysema, cystic ... #CTChest #Interpretation ... #Algorithm #ILD ... #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
differential diagnosis (Table ... Nodular or irregular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
for follow-up of nodules ... lesion has been stable ... #Management #Radiology ... #CTChest #Fleischner ... #RadiologyAssistant