12 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... on HRCT Most of ... disease comes from HRCT ... On HRCT there are ... Interstitial #Pattern #Differential
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis: ill ... Clinical #Radiology #HRCT ... #CTChest #Nodular ... #Pattern #Comparison
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... Radiology #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern ... MultipleNodules #Nodules #Differential
On the left two different patients with similarl HRCT findings.
The left one is a smoker with
with similarl HRCT ... smoker with RB-ILD ... Clinical #Radiology #CTChest ... #RBILD #Comparison ... HypersensitivityPneumonitis #ILD
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 ... Radiology #Pulmonary #HRCT ... #CTChest #Interpretation ... #Algorithm #ILD
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... Subacute stage: - RB-ILD ... show very similar HRCT ... Diagnosis #Radiology #CTChest ... #UIP #Comparison
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
and allogeneic HSCT ... BAL GM does not differentiate ... 100d following HSCT ... setting of GVHD) ID ... Galactomannan #diagnosis #comparison
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
smoker with RB-ILD ... with subtle HRCT-findings ... there is a broad differential ... interpretion of the HRCT ... Clinical #Radiology #CTChest
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... Physical stigmata of cor ... Diagnosis: • HRCT ... high-resolution chest ... Bronchiectasis #pulmonary #differential