14 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... 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 ... Clinical #Radiology #HRCT ... #CTChest #HighAttenuation ... #Pattern #Comparison ... #Table #RadiologyAssistant
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 #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Nodular #Pattern
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Ground-glass opacity ... resolution of the HRCT ... pattern can be ... Radiology #Pulmonary #CTChest ... #GroundGlass #Differential
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... incidental finding in HRCT ... #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Radiology #Pulmonary #CTChest ... #Nodular #Pattern ... NodularPattern #Differential ... #Comparison #Table
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 ... the dominant HR-pattern ... attenuation (ground-glass ... #CTChest #Interpretation ... #Algorithm #ILD
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 ... are confluent, HRCT ... Clinical #Radiology #CTChest
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
Ground-glass opacity ... opacity on HRCT ... pattern is the ... usually associated HRCT ... Clinical #Radiology #CTChest