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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... low attenuation (table ... common pattern ... The cystic pattern ... pattern on a CXR
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. ... The CXR is of a ... pattern.
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 ... Interstitial - Reticular ... Clinical #Radiology #CXR ... Consolidation #Patterns
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 #CXR ... Consolidation #Patterns
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 ... bronchiolitis: ill ... CTChest #Nodular #Pattern ... Differential #Comparison #Table
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... of Diffuse Cystic ... pattern not consistent ... presentations - ILD ... DCLD #pulmonary #Algorithm
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
diagnosis The table ... to look at the pattern ... more than one pattern ... Radiology #Pulmonary #CXR ... #Differential #Table
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 #CXR
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 ... #Correlation #Table ... #ILD #Findings