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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... there are four patterns ... is interstitial lung ... #Diagnosis #Radiology
Radiographic Features of Pulmonary Diseases
 - Pneumonia
 - Atelectasis
 - Emphysema
 - Pneumothorax
 - Effusion
 -
Interstitial - Reticular ... Pulmonary #Diseases #Radiology ... #Patterns #Lung ... XRay #ChestCT #Differential
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... or multifocal ill-defined ... fine or coarse reticular ... #Diagnosis #Radiology ... Consolidation #Patterns
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
artifact); (G) UIP pattern ... subpleural, basal reticular ... Diagnosis #HRCT #POCUS ... #Lung #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
Basic Interpretation ... the dominant HR-pattern ... : reticular nodular ... bronchiectasis) #Diagnosis #Radiology ... #Algorithm #ILD
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film of a 19 year old ... chest film is a reticular ... patern and that's ... recognized that this pattern ... #Clinical #Radiology
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 ... has a limited differential ... #Diagnosis #Radiology
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... LCDD, SS Cyst pattern ... presentations - ILD ... DCLD #pulmonary #Algorithm ... #Diagnosis #differential
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
smoker with RB-ILD ... The dominant pattern ... there is a broad differential ... mandatory for the interpretion ... #Clinical #Radiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This post will focus ... chest radiograph pattern ... defaulting to a normal interpretation ... #Radiology #CTChest ... #Lung #Pulmonary