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pulmonary radiology radiologyassistant ctchest differential ild clinical pattern pneumonitis amiodarone boop bronchiectasis cancer chronic cop cryptogenic fibrosis ggo hp hypersensitivitypneumonitis
Chronic hypersensitivity pneumonitis The key findings in chronic hypersensitivity pneumonitis are: Mosaic pattern with areas of ground-glass atenuation
Chronic hypersensitivity ... The HRCT shows a ... hyperaerated secondary nodules ... and secondry nodules ... Clinical #Radiology #CXR
Approach to the diagnosis of chronic hypersensitivity pneumonitis. *Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
Approach to the diagnosis ... of chronic hypersensitivity ... pneumonitis; HRCT ... pneumonitis #pulmonary #diagnosis ... #algorithm #HP
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 ... patterns: reticular, nodular
Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look
Algorithm for nodular ... pattern The algorithm ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Algorithm
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
- Imaging: • CXR ... irregular lines, nodular ... , cavities • HRCT ... interstitial pneumonia’s, Hypersensitivity ... #management
On the left a patient with ground glass pattern in a mosaic distribution. Some lobules are involved
The differential diagnosis ... Hypersensitivity ... centrilobular nodules ... density (acinar nodules ... are confluent, HRCT
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 ... HR-pattern: reticular nodular ... bronchiectasis) #Diagnosis ... Radiology #Pulmonary #HRCT ... Interpretation #Algorithm
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
tracheobronchomegaly) • Hypersensitivity ... centrilobular nodules ... parenchyma Diagnosis ... : • HRCT (high-resolution ... #differential #diagnosis
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
injury • Indirect hypersensitivity ... multiple pulmonary nodules ... • Reticular + Nodular ... confirmatory findings on HRCT ... #management #Toxicology
Hyponatremia Differential Diagnosis Algorithm in Cancer UOsm ≥ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential Diagnosis ... Algorithm in Cancer ... VOD following HSCT ... #Differential #Diagnosis ... #Cancer #algorithm
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