13 results
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
hyperaerated secondary nodules ... and secondry nodules ... #Clinical #Radiology ... #CXR #CTChest # ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Hypersensitivity ... Hypersensitivity ... #Pulmonary #CTChest ... NodularPattern #Differential ... Comparison #Table #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... Cystic LCH: - LAM ... #CTChest #Cystic ... Comparison #Table #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Patterns - Differential ... Low Attenuation Nodular ... #CT #Patterns #Differential ... Diagnosis #pulmonary #radiology
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
HRCT as seen in fibrosis ... distribution: Hypersensitivity ... #Pulmonary #CTChest ... #GroundGlass #Differential ... #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
appearance of lung nodules ... , as in cystic fibrosis ... ABPA is a hypersensitivity ... #CXR #CTChest # ... Mucus #Plugging #RadiologyAssistant
Longstanding Sarcoidosis
Here a typical chest film in a patient with long standing Sarcoidosis (stage IV).
There is
Here a typical chest ... The differential ... includes chronic hypersensitivity ... #Clinical #Radiology ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... diagnosis of Hypersensitivity ... In chronic HP fibrotic ... #CTChest #UIP # ... #Mimic #ILD #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
The differential ... centrilobular nodules ... #Clinical #Radiology ... #CTChest #GGO # ... HypersenstitivityPneumonitis #RadiologyAssistant
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
Signs of fibrosis ... included in the differential ... #Clinical #Radiology ... #CTChest #Chronic ... #RadiologyAssistant