11 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... four patterns: ... low attenuation (table ... The cystic pattern ... Diagnosis #Radiology #Pulmonary
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... a patient with active ... Clinical #Radiology #HRCT ... CTChest #Nodular #Pattern ... #Comparison #Table
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... low attenuation pattern ... on the basis of HRCT ... LowAttenuation #Differential ... #Diagram #Comparison
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... ground glass with traction ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern ... #Comparison #Table
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... NodularPattern #Nodular #Pattern
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... a patient with active ... CTChest #Nodular #Pattern ... NodularPattern #Differential ... #Comparison #Table
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... in normal lung, pulmonary ... artifact); (G) UIP pattern ... Clinical #Diagnosis #HRCT ... #Correlation #Table
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Cardiogenic pulmonary ... incidental finding in HRCT ... CTChest #Reticular #Pattern ... #Comparison #Table
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 ... the dominant HR-pattern ... lymphadenopathy, traction ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... has a limited differential ... diagnosis (Table ... in interstitial pulmonary ... #HRCT #CTChest