12 results
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Cardiogenic pulmonary ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Interstitial #Pattern #Differential
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... #Clinical #Radiology ... #Pulmonary #CTChest ... #Mimic #Differential ... #Comparison #Table
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
dominant HR-pattern: reticular ... low attenuation (emphysema ... #Pulmonary #HRCT ... #CTChest #Interpretation ... #Algorithm #ILD
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
in a pattern of reticular ... diagnosis (Table ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
Pulmonary vessels ... the other hand, mild ... difficult to detect on HRCT ... #Clinical #Radiology ... #CTChest #Panlobular
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 ... there is a broad differential ... #Clinical #Radiology ... #CTChest #RBILD
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... NodularPattern #Differential ... #Comparison #Table
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 ... #Clinical #Diagnosis ... #Radiology #CTChest