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radiology radiologyassistant pulmonary comparison diagnosis hrct fibrosis ggo highattenuation hypersensitivity hypersensitivitypneumonitis ild management nodular pneumonitis acuteinterstitialpneumonia aip cardiology centrilobular chronic
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 ... consolidation #Clinical ... 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 ... #Clinical #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 ... NodularPattern #Differential ... #Comparison #Table
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Reticular #Pattern ... #Comparison #Table
On the left a patient with ground glass pattern in a mosaic distribution. Some lobules are involved
patient with ground glass ... pattern in a mosaic ... The differential ... #Clinical #Radiology ... #CTChest #GGO #
Subacute hypersensitivity pneumonitis The key findings in the subacute hypersensitivity pneumonitis are: ill-defined centrilobular nodules of ground-glass opacity
opacity (80% of cases ... ) or mosaic pattern ... patchy ground-glass ... #Clinical #Radiology ... #CTChest #Hypersensitivity
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy Chronic Thromboembolic Pulmonary Hypertension Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... not specific • Chest ... mosaic parenchymal pattern ... WHO functional class ... WHO functional class
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
Ground-glass opacity ... 20-40% of the cases ... pattern is the ... #Clinical #Radiology ... #CTChest #GroundGlass
Chronic hypersensitivity pneumonitis (2) The case on the left shows an inspiratory and expiratory scan: the mosaic
scan: the mosaic pattern ... with a mozaic pattern ... included in the differential ... #Clinical #Radiology ... #CTChest #Chronic
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