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More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
also uncommon HRCT-presentations ... some of them the old ... #Diagnosis #Radiology ... SHITFACED #Mnemonic #HRCT ... #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Diffuse ... consolidation - Multifocal ill-defined ... Nodule - Multiple Masses ... Diagnosis #Clinical #Radiology ... Consolidation #Patterns #RadiologyAssistant
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... the nodules are diffuse ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
usually multiple ill-defined ... lobar pneumonia caused ... The old name is ... #Diagnosis #Radiology ... Differential #Table #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... morphologic findings on HRCT ... #Diagnosis #Radiology ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
aswell as the HRCT ... are diffuse or ... #Clinical #Radiology ... AcuteInterstitialPneumonia #ILD ... #RadiologyAssistant
On the left a patient with DIP.
The HRCT shows diffuse areas of ground-glass density in the
The HRCT shows diffuse ... smoking #Clinical #Radiology ... DesquamativeInterstitialPneumonia #ILD ... #RadiologyAssistant
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 ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Diffuse consolidation in bronchopneumonia
Here another case of diffuse consolidation.
This patient had fever and cough.
This was thought
bronchopneumonia Here another case ... to multifocal ill-defined ... Bronchopneumonia can be caused ... #Clinical #Radiology ... #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
left a typical case ... Panlobular emphysema is diffuse ... difficult to detect on HRCT ... #Clinical #Radiology ... PanlobularEmphysema #RadiologyAssistant