13 results
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
in a mid zone distribution ... The HRCT shows a ... #Clinical #Radiology ... #HypersensitivityPneumonitis ... #RadiologyAssistant
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
specific interstitial pneumonitis ... #Clinical #Radiology ... #HRCT #CTChest ... #HighAttenuation ... #Table #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
perilymphatic distribution ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
High Attenuation pattern 
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage
Chronic eosinophilic ... consolidation #Clinical #Radiology ... #HRCT #CTChest ... #HighAttenuation ... #Table #RadiologyAssistant
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
pneumonia (COP), chronic ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Hypersensitivity pneumonitis ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
perilymphatic distribution ... #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 ... in a mosaic distribution ... The differential ... are confluent, HRCT ... #Clinical #Radiology
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 ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
HP (right) Differential ... Hypersensitivity Pneumonitis ... show very similar HRCT ... strong lower zone distribution ... Clinical #Diagnosis #Radiology