ACAM afib cardiology radiologyassistant table pulmonary comparison central ctchest findings

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

emphysema: no walls, central ... Clinical #Diagnosis #Radiology ... #CTChest #Cystic ... #Differential #Comparison ... #Table #RadiologyAssistant

The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-

basis of HRCT findings ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant

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

thickening of the central ... #Clinical #Radiology ... #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant

The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders.
They represent fundamental responses of

listed in the table ... of morphologic findings ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #RadiologyAssistant

On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary

Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant

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

about imaging findings ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant

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

edema: incidental finding ... #Clinical #Radiology ... #HRCT #CTChest ... Reticular #Pattern #Comparison ... #Table #RadiologyAssistant

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

lower zone or a central ... there additional findings ... #Pulmonary #HRCT ... #CTChest #Interpretation ... Algorithm #ILD #RadiologyAssistant

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

Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in

a predominant finding ... differential diagnosis (Table ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #RadiologyAssistant

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