13 results
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
thickening in the reticular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic ... #Nodular #Differential
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 ... , nodular, high
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
The HRCT shows a ... and secondry nodules ... and intralobular reticular ... Clinical #Radiology #CXR ... #CTChest #Hypersensitivity
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Differential #
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... A HRCT is needed ... to confirm the diagnosis ... Here a CXR with ... HRCT demonstrated
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 ... dominant HR-pattern: reticular ... nodular high attenuation ... Radiology #Pulmonary #HRCT ... #CTChest #Interpretation
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
in a pattern of reticular ... diagnosis (Table ... Nodular or irregular ... #Pulmonary #HRCT ... #CTChest #Reticular
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
-> Rheumatoid Nodules ... Ulcers, Livedo reticularis ... Blood: Anemia ... pleural effusion on CXR ... signs #symptoms #diagnosis
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
The differential ... diagnosis is hypersensitivity ... centrilobular nodules ... are confluent, HRCT ... Clinical #Radiology #CTChest
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
multiple pulmonary nodules ... glass opacities • Reticular ... + Nodular opacities ... ground glass or reticular ... confirmatory findings on HRCT