ACAM afib cardiology radiologyassistant table diagnosis hrct distribution mimic reticular central

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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic

Central distribution ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Table ... #RadiologyAssistant

Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and

Perilymphatic distribution ... thickening in the reticular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #RadiologyAssistant

Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases

Pulmonary edema #Diagnosis ... #HRCT #ChestCT ... #Differential #Table ... #Distribution # ... Upper #Lower #RadiologyAssistant

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

Differential diagnosis ... emphysema: no walls, central ... #Radiology #CTChest ... Differential #Comparison #Table ... #RadiologyAssistant

Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from

Differential diagnosis ... on HRCT Most of ... low attenuation (table ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant

Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look

in number, the distribution ... nodules along the central ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... Differential #Algorithm #RadiologyAssistant

Reticular pattern
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.

Reticular pattern ... and perihilar distribution ... #Clinical #Radiology ... #Comparison #Table ... #RadiologyAssistant

Differential diagnosis of Lymphangitic Carcinomatosis.
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular

Differential diagnosis ... gravitational distribution ... thickening of the central ... Carcinomatosis #Mimic ... #RadiologyAssistant

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

Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high

dominant HR-pattern: reticular ... lower zone or a central ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... Algorithm #ILD #RadiologyAssistant

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