13 results
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Non specific interstitial ... result of massive fibrosis ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
perilymphatic distribution ... next to pleura and ... #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 ... Pattern #Differential
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary ... #CTChest #GGO #
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
bronchovascular interstitium ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... MultipleNodules #Nodules #Differential
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
combinations of fibrosis ... listed in the table ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential # ... Comparison #Table
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
perihilar distribution ... peribronchovascular interstitium ... #Clinical #Radiology ... #HRCT #CTChest ... #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 ... show very similar HRCT ... #Clinical #Diagnosis ... #Radiology #CTChest ... #UIP #Comparison
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
by fluid, fibrous ... cells results in a pattern ... diagnosis (Table ... #Diagnosis #Radiology ... #Pulmonary #HRCT