26 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
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
or interstitial lung ... predominance: UIP ... Hypersensitivity pneumonitis ... #Pulmonary #CTChest ... #Differential #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
volume loss and fibrotic ... changes in the basal lung ... #Clinical #Radiology ... #Interstitial #Pneumonitis ... Reticular #ILD #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
subpleural and basal lung ... #Clinical #Radiology ... #CTChest #UIP # ... #Interstitial #Pneumonitis ... #ILD #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Hypersensitivity Pneumonitis ... throughout the whole lung ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Mimic #ILD #RadiologyAssistant
Notice the honeycombing and the preference of the subpleural and basal lung areas. #Clinical #Radiology #CTChest
subpleural and basal lung ... #Clinical #Radiology ... #CTChest #UIP # ... #Interstitial #Pneumonitis ... LowerLungPredominance #ILD #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
idiopathic interstitial pneumonias ... combinations of fibrosis ... findings of NSIP, UIP ... #Pulmonary #CTChest ... ILD #Findings #RadiologyAssistant
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
bronchiectasis due to fibrosis ... lymphadenopathy #Clinical ... #Radiology #CTChest ... #Interstitial #Pneumonitis ... #ILD #RadiologyAssistant
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
multiple ill-defined nodules ... CT demonstrates ... #Clinical #Radiology ... #CXR #CTChest # ... SepticEmboli #Cavity #RadiologyAssistant
Mucoid impaction
Mucus plugs or mucoid impaction can mimick the appearance of lung nodules or a mass.
Sometimes
nodules or a mass ... , as in cystic fibrosis ... CT demonstrated ... #Clinical #Radiology ... #CXR #CTChest #