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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... and what kind of pattern ... the most common pattern ... The ground-glass pattern ... The cystic pattern
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... on a chest x-ray ... consolidation - Diffuse ... Nodule - Multiple Masses ... Consolidation #Patterns
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... of Diffuse Cystic ... pattern not consistent ... presentations - ILD ... DCLD #pulmonary #Algorithm
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 ... Radiology #Pulmonary #CTChest ... #Nodular #Pattern ... Differential #Comparison #Table
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... to look at the pattern ... more than one pattern ... lobar pneumonia caused ... #Differential #Table
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... have specific patterns ... realise, that these patterns ... Radiology #Pulmonary #CTChest
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... is a reticular patern ... recognized that this pattern ... was caused by multiple ... cysts.
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 ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
characterized by diffuse ... The histologic pattern ... characteristics are diffuse ... Clinical #Radiology #CTChest ... AcuteInterstitialPneumonia #ILD
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
A 39-year-old ... This post will focus ... radiograph pattern ... Most commonly caused ... #Radiology #CTChest