11 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
These include: - Emphysema ... on the basis of HRCT ... #Diagnosis #Radiology ... Differential #Diagram #Comparison ... #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... Pulmonary edema #Diagnosis ... #HRCT #ChestCT ... #Upper #Lower #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
HRCT findings in ... carcinoma, the diagnosis ... #Clinical #Radiology ... Organizing #Pneumonia #ILD ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
(ground-glass, consolidation ... low attenuation (emphysema ... bronchiectasis) #Diagnosis ... Interpretation #Algorithm #ILD ... #RadiologyAssistant
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
you find three different ... some of them the old ... #Diagnosis #Radiology ... SHITFACED #Mnemonic #HRCT ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
centrilobular emphysema ... show very similar HRCT ... #Radiology #CTChest ... #UIP #Comparison ... #RadiologyAssistant
On the left two different patients with similarl HRCT findings.
The left one is a smoker with
On the left two different ... with similarl HRCT ... #Clinical #Radiology ... CTChest #RBILD #Comparison ... #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
or an area of consolidation ... the differential diagnosis ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Comparison #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
aswell as the HRCT ... suggestive of the diagnosis ... #Clinical #Radiology ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... are paraseptal emphysema ... broad differential diagnosis ... #Clinical #Radiology ... #RadiologyAssistant