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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
patterns: reticular, nodular ... low attenuation (table ... The cystic pattern ... When the cysts have ... #Diagnosis #Radiology
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Multifocal ill-defined ... interstitial opacities ... Nodule or mass ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... before the typical cysts ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
In many cases a HRCT ... The HRCT - not shown ... #Clinical #Radiology ... #CXR #Sarcoidosis ... #Nodular #Interstitial
HRCT findings in UIP
Honeycombing consisting of multilayered thick-walled cysts.
Architectural distortion with traction bronchiectasis due to fibrosis.
Predominance
HRCT findings in ... multilayered thick-walled cysts ... lymphadenopathy #Clinical ... #Radiology #CTChest ... UsualInterstitialPneumonitis #Usual #Interstitial
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
before the typical cysts ... bronchiolitis: ill ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... Differential #Comparison #Table
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
The CXR is of a ... On the CXR it is ... of such cases a HRCT ... #Clinical #Radiology ... Cystic #Interstitial
On the left a chest film of a patient with UIP due to IPF.
The findings on
thick walls of the cysts ... #Clinical #Radiology ... #CXR #CTChest # ... UsualInterstitialPneumonitis #Usual #Interstitial ... Pneumonitis #Reticular #ILD