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radiology radiologyassistant ctchest hrct diagnosis cxr pulmonary differential ild interstitial langerhanscellhistiocytosis lch lowattenuation nodular correlation findings histiocytosis honeycombing interpretation langerhans
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
: reticular, nodular ... low attenuation (table ... is reticular. ... The cystic pattern ... presents as a reticular
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. ... or a reticular ... pattern.
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... (LAM): uniform cysts ... #Clinical #Radiology ... #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... (LAM): regular cysts ... #Clinical #Radiology ... #Pattern #Comparison ... #Table #RadiologyAssistant
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... #Clinical #Radiology ... HRCT #CTChest #Reticular ... #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( ... before the typical cysts ... #Clinical #Radiology ... CTChest #Nodular #Pattern ... #Comparison #Table
Honeycombing represents the second reticular pattern recognizable on HRCT. Because of the cystic appearance, honeycombing is also
represents the second reticular ... pattern recognizable ... Because of the cystic ... low attenuation pattern ... #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
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis. The
chest film is a reticular ... patern and that's ... recognized that this pattern ... caused by multiple cysts ... #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
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