12 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
measure less than 1 ... associated pulmonary ... emphysema. ... #Radiology #CTChest ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
) Differential diagnosis ... centrilobular emphysema ... show very similar HRCT ... #Radiology #CTChest ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
low attenuation (emphysema ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... Interpretation #Algorithm #ILD ... #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
the other hand, mild ... difficult to detect on HRCT ... (1). ... #Clinical #Radiology ... PanlobularEmphysema #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
- Differential Diagnosis ... Attenuation: • Emphysema ... Smoking, Alpha-1- ... Antitripsyn Def • Cysts ... #pulmonary #radiology
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
pneumonia • formerly BOOP ... , cavities • HRCT ... organizing pneumonia, Chronic ... Pneumonia #COP #BOOP ... #pulmonary #ILD
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
nodular pattern. 1. ... before the typical cysts ... #Clinical #Diagnosis ... #Radiology #Pulmonary ... Comparison #Table #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... BOOP - Bronchiolitis ... #Diagnosis #Radiology ... #Pulmonary #CXR ... Differential #Table #RadiologyAssistant