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radiology radiologyassistant ctchest clinical diagnosis pulmonary comparison cxr differential ild interstitial reticular chronic correlation fibrosis hypersensitivity hypersensitivitypneumonitis idiopathic idiopathicinterstitialpneumonia interpretation
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... four patterns: ... reticular, nodular ... low attenuation (table ... The cystic pattern
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... centrilobular nodules ... Clinical #Radiology #HRCT ... #Pattern #Comparison ... #Table #RadiologyAssistant
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... Sarcoidosis: nodules ... Clinical #Radiology #HRCT ... #Pattern #Comparison ... #Table #RadiologyAssistant
Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look
Algorithm for nodular ... pattern The algorithm ... are visible, the pattern ... Radiology #Pulmonary #HRCT ... #Pattern #MultipleNodules
Sarcoidosis In this case the chest x-ray shows subtle findings that could be described as fine reticulation. In
x-ray shows subtle findings ... In many cases a HRCT ... nature of the findings ... The HRCT - not shown ... #Interstitial #Pattern
Chronic hypersensitivity pneumonitis The key findings in chronic hypersensitivity pneumonitis are: Mosaic pattern with areas of ground-glass atenuation
pneumonitis The key findings ... pneumonitis are: Mosaic pattern ... The HRCT shows a ... mosaic pattern ... and secondry nodules
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
listed in the table ... have specific patterns ... of morphologic findings ... on HRCT and histology ... realise, that these patterns
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 ... #Correlation #Table ... #ILD #Findings
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 ... : reticular nodular ... there additional findings ... Interpretation #Algorithm
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... edema: incidental finding ... in HRCT, smooth ... CTChest #Reticular #Pattern ... #Comparison #Table
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