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Spirometry - PFT Interpretation Algorithm

- BWH Medicine Chiefs @BrighamChiefs

#Spirometry #PFTs #Interpretation #Algorithm #diagnosis #differential #pulmonary #function
Spirometry - PFT Interpretation ... Algorithm - ... #Algorithm #diagnosis ... #differential #pulmonary ... #function #testing
Pulmonary Function Testing (PFT) Interpretation Algorithm

Restrictive Lung Disease:
 • Chest wall or neuromuscular disorders
 • Interstitial
Pulmonary Function ... Testing (PFT) Interpretation ... Algorithm Restrictive ... #Function #Testing ... #Algorithm #diagnosis
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
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 ... #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 ... #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
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
Fleischner Society ... calcification, further testing ... definitive tissue diagnosis ... Society #Followup #Pulmonary ... #Nodules #RadiologyAssistant
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Key Components: ... murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... days before Pulmonary ... stratification #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 ... broad differential diagnosis ... mandatory for the interpretion ... of the HRCT. ... RespiratoryBronchiolitis #ILD #RadiologyAssistant