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Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... - Aspiration - Pulmonary ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Upper #Lower #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
of HRCT involves ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Algorithm #ILD ... #RadiologyAssistant
Subsolid nodules
Most subsolid nodules are transient and the result of infection or hemorrhage.
However, persistent subsolid nodules
size and a solid component ... #Diagnosis #Radiology ... #Pulmonary #Fleischner ... PulmonaryNodule #Followup #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #RadiologyAssistant
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
some of them the old ... #Diagnosis #Radiology ... #Pulmonary #SHITFACED ... #Mnemonic #HRCT ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... mandatory for the interpretion ... of the HRCT. ... #Clinical #Radiology ... #RadiologyAssistant
Risk factors
Defining high- or low-risk is currently more difficult than it was in the old guideline.
Previously
it was in the old ... #Epidemiology #Radiology ... #Pulmonary #Fleischner ... PulmonaryNodule #Nodule #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
Pulmonary vessels ... the other hand, mild ... difficult to detect on HRCT ... #Clinical #Radiology ... PanlobularEmphysema #RadiologyAssistant