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Here are the most common examples of these four patterns on a chest x-ray (click image
on a chest x-ray ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology ... #Patterns #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison ... #SignetRing #RadiologyAssistant
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Hemorrhage, Edema • Consolidation ... Attenuation: • Emphysema ... #CT #Patterns # ... #pulmonary #radiology
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
or an area of consolidation ... without associated pulmonary ... #Clinical #Diagnosis ... #Radiology #CTChest ... #Comparison #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #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 ... (ground-glass, consolidation ... low attenuation (emphysema ... #Radiology #Pulmonary ... #HRCT #CTChest
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... are paraseptal emphysema ... these non-specific CT ... #Clinical #Radiology ... #CTChest #RBILD
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
with a benign pattern ... mm depends on clinical ... definitive tissue diagnosis ... #CTChest #Fleischner ... Society #Followup #Pulmonary
It can be difficult to distinguish these three entities.
There are two diagnostic hints for further differentiation:
-
There are two diagnostic ... penicillamine) #Clinical ... #Radiology #CTChest ... MosaicAttenuation #Mosaic ... #RadiologyAssistant
Disseminated Actinomycosis- ...Computed tomography of the chest and abdomen revealed multiple pulmonary nodules (Panel A) associated
revealed multiple pulmonary ... with the use of video-assisted ... patient received a diagnosis ... #NEJM #clinical ... #radiology #CT #