11 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On HRCT there are ... reticular, nodular ... pattern on a CXR ... Diagnosis #Radiology #Pulmonary ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... Interstitial - Reticular ... mass - Solitary Pulmonary ... Clinical #Radiology #CXR ... #RadiologyAssistant
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
thickening in the reticular ... pattern. ... Diagnosis #Radiology #Pulmonary ... #HRCT #CTChest ... #Differential #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... A HRCT is needed ... a reticular pattern ... HRCT demonstrated ... #Honeycombing #RadiologyAssistant
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
The HRCT shows a ... mosaic pattern ... and intralobular reticular ... Clinical #Radiology #CXR ... Chronic #Fibrosis #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 ... : reticular nodular ... Diagnosis #Radiology #Pulmonary ... Interpretation #Algorithm #ILD ... #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... or multifocal ill-defined ... fine or coarse reticular ... Diagnosis #Radiology #CXR ... #RadiologyAssistant
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
-> Rheumatoid Nodules ... Ulcers, Livedo reticularis ... nociceptors & induces ... pleural effusion on CXR ... interstitial lung disease/pulmonary
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
History: cough, dyspnea ... - Imaging: • CXR ... consolidation and GG pattern ... , cavities • HRCT ... #ILD #diagnosis
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
nodules and masses ... Dyspnea 3. ... + Nodular opacities ... Exclusion of other ILDs ... confirmatory findings on HRCT