ALiEM rotatorcuff table radiology hrct interstitial chestct clinical diagnosis distribution lower

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

Pulmonary edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT ... #Differential #Table ... #Distribution #

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

Central distribution ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution

Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or

resolution of the HRCT ... bronchiolitis, PCP. - Lower ... Centrilobular distribution ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary

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

Differential diagnosis ... low attenuation (table ... On a Chest X-Ray ... detected on a chest ... #Diagnosis #Radiology

Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
• Idiopathic form of organizing pneumonia
• formerly BOOP

Organizing Pneumonia - Clinical ... CXR: Peripheral distribution ... , cavities • HRCT ... peripheries and lower ... pulmonary #ILD #diagnosis

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

and perihilar distribution ... peribronchovascular interstitium ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table

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

limited differential diagnosis ... (Table). ... Kerley B lines on chest ... #Diagnosis #Radiology ... #Pulmonary #HRCT

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

Differential diagnosis ... gravitational distribution ... bronchovascular interstitium ... #Clinical #Radiology ... Differential #Comparison #Table

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

UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular

On a chest X-ray ... A HRCT is needed ... to confirm the diagnosis ... #Clinical #Radiology ... UIP #Reticular #Interstitial

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