9 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... low attenuation (table ... The cystic pattern ... pattern on a CXR ... pattern can be
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Multifocal ill-defined ... - Reticular interstitial ... Atelectasis #Diagnosis #Clinical ... Consolidation #Patterns
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
Cystic versus Reticular ... pattern or a cystic ... pattern. ... pattern. ... #Interstitial #
Honeycombing represents the second reticular pattern recognizable on HRCT.
Because of the cystic appearance, honeycombing is also
represents the second reticular ... pattern recognizable ... low attenuation pattern ... feature of usual interstitial ... #Clinical #Radiology
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... before the typical cysts ... #Clinical #Diagnosis ... CTChest #Nodular #Pattern ... Differential #Comparison #Table
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... peribronchovascular interstitium ... #Clinical #Radiology ... #Pattern #Comparison ... #Table #RadiologyAssistant
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
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 ... attenuation (emphysema, cystic ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
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 ... #Clinical #Diagnosis ... #Correlation #Table ... #ILD #Findings