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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... low attenuation (table ... is interstitial lung ... #Pulmonary #CXR
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
artifact); (G) UIP pattern ... #Clinical #Diagnosis ... #HRCT #POCUS #Lung ... #Correlation #Table ... #ILD #Findings
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... - Emphysema - Lung ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... edema #Diagnosis ... #HRCT #ChestCT ... #Differential #Table
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... Differential #Comparison #Table
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... or interstitial lung ... in ground glass pattern ... #Radiology #Pulmonary ... #CTChest #GGO #
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... on a chest x-ray ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... On a chest X-ray ... A HRCT is needed ... to confirm the diagnosis ... #Clinical #Radiology