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radiology ctchest clinical diagnosis hrct differential pulmonary nodular fibrosis highattenuation hypersensitivitypneumonitis pneumonitis centrilobular chronic compared cxr dermatology druginduced drugrelated erythemas
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity ... Hypersensitivity ... #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 ... Hypersensitivity ... Hypersensitivity ... #Differential #Comparison ... #Table #RadiologyAssistant
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 ... HighAttenuation #Pattern ... #Comparison #Table ... #RadiologyAssistant
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... (NSIP): ground glass ... HighAttenuation #Pattern ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... low attenuation (table ... The ground-glass ... seen and in many cases ... #Differential #RadiologyAssistant
Ground-glass opacity Ground-glass opacity (GGO) represents: - Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
Ground-glass opacity ... pattern can be ... bronchiolitis, PCP. - Lower ... distribution: Hypersensitivity ... #Differential #RadiologyAssistant
Subacute hypersensitivity pneumonitis The key findings in the subacute hypersensitivity pneumonitis are: ill-defined centrilobular nodules of ground-glass opacity
Subacute hypersensitivity ... in the subacute hypersensitivity ... opacity (80% of cases ... ) or mosaic pattern ... Centrilobular #RadiologyAssistant
Chronic hypersensitivity pneumonitis (2) The case on the left shows an inspiratory and expiratory scan: the mosaic
scan: the mosaic pattern ... areas of ground-glass ... in the mid and lower ... with a mozaic pattern ... HypersensitivityPneumonitis #Fibrosis #RadiologyAssistant
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... lines), ground-glass ... CTChest #Reticular #Pattern ... #Comparison #Table ... #RadiologyAssistant
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy. The radiographic
areas of ground glass ... honeycombing in the left lower ... fibrosis in chronic hypersensitivity ... or NSIP pattern ... DrugRelated #Fibrosis #RadiologyAssistant
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