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radiology radiologyassistant ctchest diagnosis clinical differential pulmonary cxr ild chronic correlation fibrosis findings hypersensitivity hypersensitivitypneumonitis interpretation interstitial lung perilymphatic pneumonitis
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
four patterns: ... reticular, nodular ... low attenuation (table ... is reticular. ... presents as a reticular
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... centrilobular nodules ... Clinical #Radiology #HRCT ... #Pattern #Comparison ... #Table #RadiologyAssistant
Perilymphatic distribution Perilymphatic nodules are most commonly seen in sarcoidosis. They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic nodules ... and the nodular ... thickening in the reticular ... pattern. ... Radiology #Pulmonary #HRCT
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... Sarcoidosis: nodules ... Clinical #Radiology #HRCT ... #Pattern #Comparison ... #Table #RadiologyAssistant
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... incidental finding in HRCT ... #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
Chronic hypersensitivity pneumonitis The key findings in chronic hypersensitivity pneumonitis are: Mosaic pattern with areas of ground-glass atenuation
pneumonitis are: Mosaic pattern ... The HRCT shows a ... mosaic pattern ... and secondry nodules ... and intralobular reticular
Basic Interpretation A structured approach to interpretation of HRCT involves the following questions: What is the dominant HR-pattern: reticular nodular high
interpretation of HRCT ... the dominant HR-pattern ... : reticular nodular ... Radiology #Pulmonary #HRCT ... Interpretation #Algorithm
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 ... Clinical #Diagnosis #HRCT ... #Correlation #Table
Septal thickening Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... of reticular opacities ... Nodular or irregular ... Radiology #Pulmonary #HRCT ... #CTChest #Reticular
Vasculitis and Vasculitides - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions •
: erythematous nodules ... purpura, livedo reticularis ... and bullous or vesicular ... - (C-ANCA) pattern ... - (P-ANCA) pattern
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