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radiologyassistant clinical comparison hrct cxr diagnosis cystic pulmonary differential highattenuation interstitial lowattenuation cavitarylesion cavity cyst diaphragm emphysema evaluation hidden ild
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
, high and low attenuation ... (table). ... it can be very difficult ... is also difficult ... #Diagnosis #Radiology
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation ... pattern 1. ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation ... pattern (2) 1. ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation ... pattern (2) 1. ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
High Attenuation pattern 1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity. 2. Sarcoid end-stage
High Attenuation ... pattern 1. ... consolidation #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
Reticular It can be difficult ... or a cystic pattern ... the CXR it is difficult ... #Clinical #Radiology ... #CXR #CTChest #
Here an example of a large lesion in the right lower lobe, which is difficult to
lobe, which is difficult ... you give special attention ... #Clinical #Radiology ... #CXR #CTChest #
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
This makes it difficult ... we describe a chest ... #Differential #Table ... Pulmonary #Diagnosis #Radiology
Basic Interpretation A structured approach to interpretation of HRCT involves the following questions: What is the dominant HR-pattern: reticular nodular high
the dominant HR-pattern ... consolidation) low attenuation ... bronchiectasis) #Diagnosis #Radiology ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... : ground glass attenuation ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
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