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radiology radiologyassistant diagnosis clinical comparison pulmonary differential cystic ild lowattenuation nodular reticular causes chronic cxr dyspnea findings highattenuation idiopathic idiopathicinterstitialpneumonia
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
disease comes from HRCT ... On HRCT there are ... low attenuation (table ... On a Chest X-Ray ... When the cysts have
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... (LAM): uniform cysts ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... #Comparison #Table
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Non specific interstitial ... Clinical #Radiology #HRCT ... #CTChest #HighAttenuation ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... #Cystic #Pattern ... #Comparison #Table
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... before the typical cysts ... Clinical #Radiology #HRCT ... #CTChest #Nodular ... #Table #RadiologyAssistant
Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look
Algorithm for nodular ... pattern The algorithm ... bronchovascular interstitium ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
listed in the table ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns ... Radiology #Pulmonary #CTChest
Septal thickening Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung interstitium ... cells results in a pattern ... differential diagnosis (Table ... Radiology #Pulmonary #HRCT ... #CTChest #Reticular
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... incidental finding in HRCT ... peribronchovascular interstitium ... #CTChest #Reticular ... #Table #RadiologyAssistant
Basic Interpretation A structured approach to interpretation of HRCT involves the following questions: What is the dominant HR-pattern: reticular nodular high
Interpretation A structured approach ... interpretation of HRCT ... the dominant HR-pattern ... #CTChest #Interpretation ... #Algorithm #ILD
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