101 results
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
pneumonitis: ill defined centrilobular ... Hypersensitivity pneumonitis: centrilobular ... Clinical #Radiology #HRCT
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... Notice the centrilobular ... Clinical #Radiology #HRCT
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... perilymphatic, centrilobular ... Centrilobular distribution ... limited to the centrilobular ... Radiology #Pulmonary #HRCT
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
related diseases (centrilobular ... Radiology #Pulmonary #HRCT
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... Clinical #Radiology #HRCT
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
perilymphatic, random and centrilobular ... distribution is likely centrilobular ... Radiology #Pulmonary #HRCT
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... secondary lobule (centrilobular ... Radiology #Pulmonary #HRCT
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... , NSIP, DIP. - Centrilobular
HRCT findings in Langerhans cell histiocytosis:
Early stage:
- Small irregular or stellate nodules in centrilobular location.
Late stage
HRCT findings in ... stellate nodules in centrilobular
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
presents with centrilobular ... are confluent, HRCT