18 results
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
- Sarcoidosis Lower ... Radiology #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution ... #Upper #Lower #
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 ... detected on a chest
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... Peripheral distribution ... Radiology #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... in number, the distribution ... are visible, the pattern ... Radiology #Pulmonary #HRCT
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... perilymphatic distribution ... Clinical #Radiology #HRCT ... CTChest #Nodular #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( ... perilymphatic distribution ... Clinical #Radiology #HRCT ... CTChest #Nodular #Pattern ... #Comparison #Table
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... bronchiolitis, PCP. - Lower ... Centrilobular distribution
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... incidental finding in HRCT ... and perihilar distribution ... Clinical #Radiology #HRCT ... #Comparison #Table
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Differential Diagnosis Algorithm ... - Bimodal Age Distribution ... involvement, irregular pattern ... Lymphoproliferative #Disorders #Classification ... #differential #algorithm
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 ... an upper versus lower ... Radiology #Pulmonary #HRCT ... Interpretation #Algorithm