13 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Diagram #Comparison ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... #Radiology #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT ... #Differential #Table
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... patterns: reticular, nodular ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
diagnosis there ... associated pulmonary ... #Radiology #CTChest ... Emphysema #Comparison ... #RadiologyAssistant
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
visible wall #CXR ... #Lucency #Differential ... #Table #CavitaryLesion ... Lung #Pulmonary ... #Diagnosis #Radiology
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
HR-pattern: reticular nodular ... low attenuation (emphysema ... #Radiology #Pulmonary ... #HRCT #CTChest ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... centrilobular emphysema ... show very similar HRCT ... #Radiology #CTChest ... #UIP #Comparison
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Low Attenuation Nodular ... Antitripsyn Def • Cysts ... Differential #Diagnosis ... #pulmonary #radiology