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Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
for idiopathic pulmonary ... HRCT = high-resolution ... computerised tomography; ILD ... = interstitial lung ... IPF = idiopathic pulmonary
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis on HRCT ... in interstitial lung ... disease comes from HRCT ... On HRCT there are ... Diagnosis #Radiology #Pulmonary
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... , pulmonary congestion ... #Clinical #Diagnosis ... #HRCT #POCUS #Lung ... Correlation #Table #ILD
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... - Aspiration - Pulmonary ... Diagnosis #Radiology #Pulmonary ... #HRCT #ChestCT
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
transbronchial lung ... transbronchial lung ... hypersensitivity pneumonitis; HRCT ... #pneumonitis #pulmonary ... algorithm #HP #ILD
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
result in decreased lung ... - Emphysema - Lung ... on the basis of HRCT ... Diagnosis #Radiology #Pulmonary ... #CTChest #LowAttenuation
On the left we see a chest film with a typical finger-in-glove shadow.
The HRCT shows focal
left we see a chest ... The HRCT shows focal ... the appropriate clinical ... #Clinical #Radiology ... #CXR #CTChest #
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
of all diffuse lung ... also uncommon HRCT-presentations ... some of them the old ... Diagnosis #Radiology #Pulmonary ... SHITFACED #Mnemonic #HRCT
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
this case the chest ... In many cases a HRCT ... The HRCT - not shown ... #Clinical #Radiology ... #CXR #Sarcoidosis
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... preference at the lung ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest