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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... in interstitial lung ... four patterns: ... is interstitial lung ... The cystic pattern
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... low attenuation pattern ... on the basis of HRCT ... findings. ... Radiology #Pulmonary #CTChest
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... have specific patterns ... on HRCT and histology ... realise, that these patterns ... Radiology #Pulmonary #CTChest
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... artifact); (G) UIP pattern ... Clinical #Diagnosis #HRCT ... #POCUS #Lung #Correlation ... #Table #ILD #Findings
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
highly significant finding ... the cases the lung ... the ground-glass pattern ... findings of fibrosis ... Clinical #Radiology #CTChest
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 ... the dominant HR-pattern ... there additional findings ... #CTChest #Interpretation ... #Algorithm #ILD
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
rare idiopathic lung ... The histologic pattern ... aswell as the HRCT ... findings in AIP ... Clinical #Radiology #CTChest
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... cells results in a pattern ... with interstitial lung ... a predominant finding ... Radiology #Pulmonary #HRCT
Lung sliding & pneumonia on POCUS
The differential diagnosis for absence of lung sliding includes pneumonia; however,
on POCUS The differential ... rarely the only finding ... result in ancillary findings ... interface—this pattern ... from the anterior chest
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Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
physical exam findings ... This post will focus ... radiograph pattern ... #Radiology #CTChest ... #Lung #Pulmonary