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Here are the most common examples of these four patterns on a chest x-ray (click image
- Multifocal ill-defined ... mass - Solitary Pulmonary ... Atelectasis #Diagnosis #Clinical ... #Radiology #CXR ... #Patterns #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
Differential diagnosis ... lobar pneumonia caused ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Table #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
or an area of consolidation ... without associated pulmonary ... emphysema. ... #Clinical #Diagnosis ... #Comparison #RadiologyAssistant
Notice that there are multiple densities in both lungs.
The larger ones are ill-defined and maybe there
with multifocal consolidations ... masses. ... dealing with the differential ... #Clinical #Radiology ... OrganizingPneumonia #BOOP #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
(ground-glass, consolidation ... low attenuation (emphysema ... #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
infarction In pulmonar ... Here we see an old ... The pulmonary embolus ... #Clinical #Radiology ... PulmonaryEmbolism #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... In these cases comparison ... with old fims can ... #Clinical #Radiology ... Redistribution #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... centrilobular emphysema ... #Clinical #Diagnosis ... #UIP #Comparison ... #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
left a typical case ... Pulmonary vessels ... the other hand, mild ... #Clinical #Radiology ... PanlobularEmphysema #RadiologyAssistant