Case 105: The Pseudo-Miliary Appearance

Unsharp, ill-defined nodules of varying sizes with ground glass halos define this condition

Bhavin Jankharia

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Four different patients with a history of dyspnea over 3-4 weeks with mild fever.

Thoughts?

  1. Miliary tuberculosis
  2. Tropical eosinophilia
  3. Metastases
  4. Hypersensitivity pneumonitis

The video below discusses the CT findings, the differentials, each of the cases in more detail, the final diagnosis and a way to make this diagnosis, especially in countries like India.

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Discussion Video


Table of Contents

Index and Table of Contents
Technical and Practice Issues * Case 11: 62-years old misdiagnosed to have interstitial lung disease - mid-inspiratory and expiratory scans * Snippet 03: Radiation risk and CT chest * Case 23: 60-years old - 40-pack years smoker - right upper lobe nodule - resolved using “mean” reconstructions…

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Case 104: Popcorn is the Classic Appearance, but Not Always
Some lung nodules have a characteristic appearance and can be easily diagnosed on CT scan

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Other Sites and Cases

When and Why Would You Prefer a Branded Drug Over a Generic!
Given the issues with quality assurance in our country, it may be better for those who can afford to buy branded drugs rather than generics.
Case 155: Sub-4 mm Lung Nodule Biopsy
Even 3 and 4 mm lung nodules can be biopsied with good breath control and attention to technique.
Case 49: Femoral Levels
5-years old with a distal femur lesion
Tropical Pulmonary EosinophiliaLung NoduleInterstitial Lung Disease

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Featured Posts

Case 106: A Specific Pattern of Ground Glass in an Infant

Case 105: The Pseudo-Miliary Appearance

Case 104: Popcorn is the Classic Appearance, but Not Always

Snippet 21: Approach to Right Medial Cardiophrenic Angle Lesions

Case 103: SFTP

Snippet 20: Practical Approach to Diffuse Cystic Lung Diseases

Case 102: Tracheobronchial Tuberculosis

Lecture: Risk Stratification of Lung Nodules

Case 101: When the Pattern of Lung Disease Gives a Clue to the Diagnosis

Snippet 19: The Various Uses of Prone Imaging

Case 100: CT of Covid-19...4 Years and 3 Months Later

Case 99: A Cleft Lung Puzzle

Lecture: Connective Tissue Disease ILDs

Case 98: Acute Increased Dyspnea in Idiopathic Pulmonary Fibrosis - First Considerations

Case 97: How to Identify and Diagnose Miliary TB as a Cause of ARDS

Case 96: When it Runs in the Family

Lecture: NSIP and OP

Lecture: How to Approach a Patient with Interstitial Lung Abnormality (ILA)

Case 95: When the Nodule is an Island

Lecture: Imaging of Sarcoidosis

Snippet: The Jellyfish and Multiple Pleural Tag Signs

Lecture: CT of Hypersensitivity Pneumonitis

Case 94: How Early is Early...

Case 93: The Asymmetric Chest Wall

Lecture: Lung Cancer Screening in a TB Endemic Country

REF-Cafe Roentgen Thoracic Thursday Lecture - XII - 26th Oct 2023: Mediastinum

Case 92: New Ground Glass in a Patient with a Fibrosing ILD

REF-Cafe Roentgen Thoracic Thursday Lecture - XI - 19th Oct 2023: Non-Resolving Opacity

Case 91: Bubble Lucencies, Central Lucencies, Bubbly Consolidation

Case 90: The Probable UIP Conundrum - Time Matters

REF-Cafe Roentgen Thoracic Thursday Lecture - X - 21st Sep 2023: Solitary Pulmonary Nodule - III - Subsolid Nodule

Case 89: Diaphragmatic Dysfunction – Eventration, Paralysis…Does it Matter

REF-Cafe Roentgen Thoracic Thursday Lecture - IX - 14th Sep 2023: Solitary Pulmonary Nodule - PFN, Juxtrapleural Nodule, Nodules in Smokers and Lung-RADs

REF-Cafe Roentgen Thoracic Thursday Lecture - VIII - 07th Sep 2023: Solitary Pulmonary Nodule > 8 mm

Snippet 17: How to Diagnose Subtle Progression of Interstitial Lung Disease at the Secondary Pulmonary Lobule Level

Case 88: Flour Mill Worker Disease

REF-Cafe Roentgen Thoracic Thursday Lecture - VII - 10th Aug 2023: Diffuse Cystic Lung Disease

REF-Cafe Roentgen Thoracic Thursday Lecture - VI - 03rd Aug 2023: Smoking Related Lung Diseases

Snippet 16: Inflammatory vs Fibrotic ILD

REF-Cafe Roentgen Thoracic Thursday Lecture - V - 20th July 2023: All About the Centrilobular Nodule

REF-Cafe Roentgen Thoracic Thursday Lecture - IV - 13th July 2023: Non-ILD Diffuse Lung Diseases

Case 87: Thymic Cyst or Cystic Thymoma

REF-Cafe Roentgen Thoracic Thursday Lecture - III - 29th June 2023: Non-Fibrosing ILDs

REF-Cafe Roentgen Thoracic Thursday Lecture - II - 22nd June 2023: Fibrosing ILDs - contd & Introduction to Non-Fibrosing ILDs

REF-Cafe Roentgen Thoracic Thursday Lecture - I: Fibrosing ILDs - 2023 06 15

Approach to Small Diffuse Lung Nodules - Lecture

Snippet 09: Variant Fibrosis

Snippet 08: Mosaic Attenuation

Snippet 04: Fibrotic NSIP vs Probable UIP

Snippet 02: Centrilobular / Bronchocentric Nodules

Snippet 01: Differentiating Traction Bronchiectasis from Honeycombing