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radiology radiologyassistant ctchest clinical diagnosis pulmonary comparison cxr differential ild interstitial reticular honeycombing tractionbronchiectasis chronic correlation cysts diagram emphysema fibrosis
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... four patterns: ... low attenuation (table ... The cystic pattern ... pattern on a CXR
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
The fourth pattern ... histiocytosis) - Bronchiectasis ... low attenuation pattern ... on the basis of HRCT ... findings.
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases. The HRCT demonstrates
interstitial pattern ... The HRCT demonstrates ... honeycombing and traction bronchiectasis ... #Interstitial #Pattern ... Honeycombing #Traction #Bronchiectasis
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... with traction bronchiectasis ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern ... #Comparison #Table
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 ... subpleural, basal reticular ... #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
the dominant HR-pattern ... : reticular nodular ... there additional findings ... lymphadenopathy, traction bronchiectasis ... Interpretation #Algorithm
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 intralobular reticular
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 ... #Pattern #Comparison ... #Table #RadiologyAssistant
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
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
highly significant finding ... ground-glass opacity on HRCT ... the ground-glass pattern ... usually associated HRCT ... findings of fibrosis
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