ACAM afib cardiology radiologyassistant atrial ctchest table hrct uip distribution fibrosis

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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 #HRCT ... #Differential #Table ... #Distribution # ... Upper #Lower #RadiologyAssistant

Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or

resolution of the HRCT ... predominance: UIP ... distribution: Hypersensitivity ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant

Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic

perilymphatic distribution ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant

Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient

perilymphatic distribution ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant

High Attenuation pattern (2)
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no

result of massive fibrosis ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant

Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation

in a mid zone distribution ... The HRCT shows a ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant

Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round

central dot. - LIP ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... Differential #Comparison #Table ... #RadiologyAssistant

High Attenuation pattern
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage

end-stage with massive fibrosis ... consolidation #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table ... #RadiologyAssistant

UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in

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