20 results
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential ... #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT ... #Differential #Table
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 ... LowAttenuation #Differential ... #SignetRing #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... , nodular, high ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... Nodular LCH: - Sarcoidosis ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #Table
Here are the most common examples of these four patterns on a chest x-ray (click image
Interstitial - Reticular ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant
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 ... nodular high attenuation ... low attenuation (emphysema ... #Radiology #Pulmonary ... #HRCT #CTChest
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Differential # ... Algorithm #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... #Clinical #Radiology ... #Pulmonary #CTChest ... #Comparison #Table ... #RadiologyAssistant