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radiology radiologyassistant clinical pulmonary hrct management cxr differential highattenuation ild acuteinterstitialpneumonia aip challenges collapse criticalcare cteph evaluation fleischner fluid followup
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... there are four patterns ... low attenuation (table ... The ground-glass ... seen and in many cases
High Attenuation pattern 1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity. 2. Sarcoid end-stage
High Attenuation pattern ... areas of ground glass ... Radiology #HRCT #CTChest ... HighAttenuation #Pattern ... #Comparison #Table
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... (NSIP): ground glass ... Radiology #HRCT #CTChest ... HighAttenuation #Pattern ... #Comparison #Table
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... #Nodular #Pattern ... #Differential #Comparison ... #Table #RadiologyAssistant
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... lines), ground-glass ... Radiology #HRCT #CTChest ... #Reticular #Pattern ... #Comparison #Table
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy Chronic Thromboembolic Pulmonary Hypertension Definition: mean pulmonary-artery pressure > 25mmHg
regurgitation) Diagnosis ... not specific • Chest ... mosaic parenchymal pattern ... WHO functional class ... WHO functional class
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 ... attenuation (ground-glass ... bronchiectasis) #Diagnosis ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm
Fleischner Society recommendations for follow-up of nodules Previous chest radiographs should be reviewed to determine if the
lesion has been stable ... of pure ground-glass ... with a benign pattern ... definitive tissue diagnosis ... Management #Radiology #CTChest
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
ASA class If ... event, follow ACC algorithm ... Stable patients ... change CV risk Chest ... stratification #diagnosis
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
important finding on a chest ... The most common causes ... #Diagnosis #Radiology ... Lobar #Collapse #Patterns ... #Comparison #RadiologyAssistant
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