10 results
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
The HRCT shows a ... mosaic pattern ... #CXR #CTChest # ... #Pneumonitis #HypersensitivityPneumonitis ... #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
High Attenuation pattern ... Chronic eosinophilic ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Lung cysts (LAM, LIP ... on the basis of HRCT ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
bronchiolitis in infection ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
with ground glass pattern ... are confluent, HRCT ... #CTChest #GGO # ... #HypersenstitivityPneumonitis ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
similar HRCT findings ... #CTChest #UIP # ... Comparison #Chronic ... #HypersensitivityPneumonitis ... Fibrosis #Mimic #ILD #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... A HRCT is needed ... attributed to chronic ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
The HRCT shows diffuse ... lobes and some mosaic ... pattern as the ... #CTChest #DIP # ... DesquamativeInterstitialPneumonia #ILD #RadiologyAssistant
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
Chronic hypersensitivity ... #Clinical #Radiology ... #CTChest #Chronic ... #Pneumonitis #HypersensitivityPneumonitis ... #Fibrosis #RadiologyAssistant
It can be difficult to distinguish these three entities.
There are two diagnostic hints for further differentiation:
-
bronchiolitis or chronic ... seen in: - (post) infection ... #CTChest #MosaicAttenuation ... #Mosaic #Attenuation ... #Comparison #RadiologyAssistant