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radiology radiologyassistant clinical pulmonary hrct differential highattenuation ild carcinomatosis cxr evaluation fleischner followup interstitial lymphangitic lymphangiticcarcinomatosis management mimic nodular nodularpattern
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
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... On a Chest X-Ray ... The ground-glass ... #Diagnosis #Radiology
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... Radiology #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
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 ... #Algorithm #ILD
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
Differential diagnosis of Lymphangitic Carcinomatosis. On the left multiple diseases showing septal thickening: 1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... diuretics, ground-glass ... Radiology #Pulmonary #CTChest ... #Differential #Comparison ... #Table #RadiologyAssistant
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
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
On the left a smoker with RB-ILD with subtle HRCT-findings. The dominant pattern is ground glass opacification. Additional
The dominant pattern ... is ground glass ... broad differential diagnosis ... mandatory for the interpretion ... Clinical #Radiology #CTChest
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