7 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
These include: - Emphysema ... on the basis of HRCT ... Diagnosis #Radiology #Pulmonary ... TractionBronchiectasis #Cysts #Emphysema ... #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
(centrilobular emphysema ... - Aspiration - Pulmonary ... Diagnosis #Radiology #Pulmonary ... #HRCT #ChestCT ... #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 ... low attenuation (emphysema ... Diagnosis #Radiology #Pulmonary ... #Algorithm #ILD ... #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 #CTChest ... #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
of panlobular emphysema ... the secondary pulmonary ... Pulmonary vessels ... difficult to detect on HRCT ... PanlobularEmphysema #RadiologyAssistant
Pulmonary Function Test (PFT) Interpretation Algorithm

Approach to PFTs:
1) Look at Flow-Volume Loop if available
2) FEV1/FVC <
Pulmonary Function ... Test (PFT) Interpretation ... Algorithm Approach ... (restrictive component ... #Algorithm #diagnosis
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
RB-ILD with subtle HRCT-findings ... are paraseptal emphysema ... mandatory for the interpretion ... of the HRCT. ... RespiratoryBronchiolitis #ILD #RadiologyAssistant