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radiology radiologyassistant ctchest clinical diagnosis pulmonary differential highattenuation lowattenuation nodular cxr ild interpretation interstitial nodularpattern reticular
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... The ground-glass ... The cystic pattern ... When the cysts have ... seen and in many cases
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... (LAM): uniform cysts ... Clinical #Radiology #HRCT ... #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... (LAM): regular cysts ... Clinical #Radiology #HRCT ... #Pattern #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 ... Clinical #Radiology #HRCT ... 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 ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern ... #Comparison #Table
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... before the typical cysts ... Clinical #Radiology #HRCT ... CTChest #Nodular #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 ... before the typical cysts ... nodules of ground-glass ... #Differential #Comparison ... #Table #RadiologyAssistant
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... incidental finding in HRCT ... Clinical #Radiology #HRCT ... CTChest #Reticular #Pattern ... #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 ... attenuation (emphysema, cystic ... Interpretation #Algorithm
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