12 results
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
Central distribution ... cardiogenic pulmonary edema ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Table
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Aspiration - Pulmonary edema ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Table ... #Distribution #
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... nodules along the central ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... emphysema: no walls, central ... LIP #Clinical #Diagnosis ... #Radiology #CTChest ... Differential #Comparison #Table
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
spaces with pus, edema ... resolution of the HRCT ... bronchiolitis #Diagnosis ... #Radiology #Pulmonary ... #CTChest #GGO #
Differential diagnosis of Lymphangitic Carcinomatosis. 
On the left multiple diseases showing septal thickening:
1. Lymphangitic carcinomatosis: irregular
Differential diagnosis ... gravitational distribution ... thickening of the central ... #Clinical #Radiology ... #Pulmonary #CTChest
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Diagnosis Algorithm ... Infarction • Stable ... Radiculopathy #ChestPain ... #Noncardiac #Cardiology ... #Algorithm #causes
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
incidental finding in HRCT ... and perihilar distribution ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
lower zone or a central ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest ... Interpretation #Algorithm
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
) Differential diagnosis ... show very similar HRCT ... strong lower zone distribution ... periphery towards the centrum ... #Radiology #CTChest