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On the left a patient with RB-ILD. The dominant feature is ground glass opacification and there are
patient with RB-ILD ... centrilobular emphysema ... the precursor of emphysema ... RespiratoryBronchiolitis #ILD ... #RadiologyAssistant
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... #Upper #Lower #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right) Differential diagnosis of Hypersensitivity Pneumonitis. Subacute stage: - RB-ILD: seen in
Subacute stage: - RB-ILD ... centrilobular emphysema ... Fibrosis #Mimic #ILD ... #RadiologyAssistant
Basic Interpretation A structured approach to interpretation of HRCT involves the following questions: What is the dominant HR-pattern: reticular nodular high
low attenuation (emphysema ... Interpretation #Algorithm #ILD ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings. The dominant pattern is ground glass opacification. Additional
smoker with RB-ILD ... are paraseptal emphysema ... first think RB-ILD ... RespiratoryBronchiolitis #ILD ... #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
These include: - Emphysema ... TractionBronchiectasis #Cysts #Emphysema ... #SignetRing #RadiologyAssistant
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... Comparison #Table #RadiologyAssistant
Differential diagnosis of Langerhans cell histiocytosis. Nodular LCH: - Sarcoidosis: perilymphatic distribution. - Metastases: random distribution. Cystic LCH: - LAM: round
Centrilobular emphysema ... Comparison #Table #RadiologyAssistant
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... Comparison #Table #RadiologyAssistant
Acute Hypoxemia - Differential Diagnosis • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Impaired Diffusion: ILD ... Pulmonary Embolism, Emphysema
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