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radiology diagnosis radiologyassistant ctchest clinical differential pulmonary hrct comparison cxr cystic nodular causes consolidation hypersensitivity hypersensitivitypneumonitis lowattenuation lung management pneumonitis
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... there are four patterns ... , high and low attenuation ... (table). ... The cystic pattern
Chronic hypersensitivity pneumonitis The key findings in chronic hypersensitivity pneumonitis are: Mosaic pattern with areas of ground-glass atenuation
pneumonitis The key findings ... pneumonitis are: Mosaic pattern ... and areas of low attenuation ... shows a mosaic pattern ... nodules of increased attenuation
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
The fourth pattern ... decreased lung attenuation ... diseases with a low attenuation ... pattern can be ... basis of HRCT findings
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation ... pattern 1. ... emphysema: low attenuation ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation ... pattern (2) 1. ... emphysema: low attenuation ... LowAttenuation #Cystic #Pattern ... #Comparison #Table
Differential diagnosis The table summarizes the most common diseases, that present with consolidation. Chronic diseases are indicated in
diagnosis The table ... to look at the pattern ... more than one pattern ... The old name is ... #Differential #Table
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Diffuse ... consolidation - Multifocal ill-defined ... Consolidation #Patterns
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation ... pattern (2) 1. ... HighAttenuation #Pattern ... #Comparison #Table
High Attenuation pattern 1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity. 2. Sarcoid end-stage
High Attenuation ... pattern 1. ... HighAttenuation #Pattern ... #Comparison #Table
Antinuclear Antibodies (ANA) ANA or Anti-NucIear Antibody refers to antibodies against antigens in the nucleus → like
serial dilution, a pattern ... significant • Pattern ... : The ANA patterns ... not specific ANA Patterns ... Antibodies #ANA #patterns
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