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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... pneumonia and UIP ... #Pulmonary #HRCT ... #ChestCT #Differential ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... is seen in: - UIP ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... On a Chest X-Ray ... in many cases UIP ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
pattern of pulmonary ... On a chest X-ray ... #Clinical #Radiology ... #CXR #UIP #Reticular ... #Honeycombing #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... or interstitial lung ... predominance: UIP ... distribution: Hypersensitivity ... #Pulmonary #CTChest
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In a normal chest ... supplying the lung ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... #RadiologyAssistant
Metastases
Metastases are the most common cause of multiple pulmonary masses.
Usually they vary in size and are
cause of multiple pulmonary ... HRCT will demonstrate ... #Clinical #Radiology ... #CXR #LungMets ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
show very similar HRCT ... lower zone distribution ... throughout the whole lung ... periphery towards the centrum ... Fibrosis #Mimic #ILD #RadiologyAssistant
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
describes his centrally ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary