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Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
Diagnostic algorithm ... HRCT = high-resolution ... computerised tomography; ILD ... = interstitial lung ... disease; IPF =
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... Smoking related diseases ... bronchiolitis (RB-ILD ... #HRCT #ChestCT ... #Upper #Lower #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Honeycombing Most diseases ... on the basis of HRCT ... findings. ... Diagnosis #Radiology #Pulmonary ... Emphysema #SignetRing #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... on HRCT and histology ... Diagnosis #Radiology #Pulmonary ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
disease, idiopathic ... #Clinical #Diagnosis ... #HRCT #POCUS #Lung ... Correlation #Table #ILD ... #Findings
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
also uncommon HRCT-presentations ... some of them the old ... Diagnosis #Radiology #Pulmonary ... SHITFACED #Mnemonic #HRCT ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... in interstitial lung ... disease comes from ... Diagnosis #Radiology #Pulmonary ... #Differential #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... there additional findings ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
disease. ... the cases the lung ... disease is not ... #Clinical #Radiology ... GroundGlass #GGO #RadiologyAssistant
HRCT findings in OP
- Bilateral peripheral consolidations, sharply demarcated.
- Consolidations may be migratory.
- Lesions may show
HRCT findings in ... exclusion of other diseases ... #Clinical #Radiology ... Organizing #Pneumonia #ILD ... #RadiologyAssistant