9 results
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... nodules along the central ... bronchovascular interstitium ... HRCT #CTChest #NodularPattern ... #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
perilymphatic distribution ... distribution in ... emphysema: no walls, central ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
imaging findings in interstitial ... low attenuation (table ... The cystic pattern ... When the cysts have ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... before the typical cysts ... #NodularPattern ... Differential #Comparison #Table ... #RadiologyAssistant
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... peribronchovascular interstitium ... Pulmonary #HRCT #NodularPattern ... #Nodular #Pattern ... Comparison #Diagram #RadiologyAssistant
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 ... before the typical cysts ... #Comparison #Table ... #RadiologyAssistant
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
gravitational distribution ... thickening of the central ... bronchovascular interstitium ... Differential #Comparison #Table ... #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... and perihilar distribution ... peribronchovascular interstitium ... #Comparison #Table ... #RadiologyAssistant
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... attenuation (emphysema, cystic ... lower zone or a central ... Interpretation #Algorithm ... #ILD #RadiologyAssistant