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radiology radiologyassistant ctchest clinical hrct diagnosis pulmonary differential reticular cxr cystic ild nodular bronchiectasis correlation findings highattenuation honeycombing interpretation lung
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
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... HRCT #CTChest #LowAttenuation ... #Cystic #Pattern ... #Comparison #Table
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... HRCT #CTChest #LowAttenuation ... #Cystic #Pattern ... #Comparison #Table
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Non specific interstitial ... ground glass with traction ... HighAttenuation #Pattern ... #Comparison #Table
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases. The HRCT demonstrates
demonstrates a reticular ... interstitial pattern ... honeycombing and traction ... #Interstitial # ... Pattern #Honeycombing
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... a patient with active ... CTChest #Nodular #Pattern ... #Comparison #Table
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
with a nodular pattern ... a patient with active ... CTChest #Nodular #Pattern ... #Differential #Comparison ... #Table #RadiologyAssistant
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... peribronchovascular interstitium ... HRCT #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
Septal thickening Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung interstitium ... cells results in a pattern ... of reticular opacities ... patients with interstitial ... differential diagnosis (Table
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis. Notes: (A)
opacities and traction ... artifact); (G) UIP pattern ... subpleural, basal reticular ... abnormalities, traction ... #Correlation #Table
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