34 results
Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
fibrosis, in part ... HRCT = high-resolution ... computerised tomography; ILD ... usual interstitial pneumonitis ... #Fibrosis
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
are: Mosaic pattern ... Fibrosis and parenchymal ... The HRCT shows a ... mosaic pattern ... Clinical #Radiology #CXR
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
on HRCT Most of ... disease comes from HRCT ... On HRCT there are ... Diagnosis #Radiology #Pulmonary ... #Pattern #Differential
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis ... : ill defined centrilobular ... Clinical #Radiology #HRCT ... CTChest #Nodular #Pattern
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... Hypersensitivity pneumonitis ... - Aspiration - Pulmonary ... #HRCT #ChestCT ... #Differential #Table
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... specific interstitial pneumonitis ... result of massive fibrosis ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
Hypersensitivity pneumonitis ... • Radiation pneumonitis ... fibrosis (IPF), ... #diagnosis #differential ... #pulmonary #causes
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... fibrosis. ... artifact); (G) UIP pattern ... Clinical #Diagnosis #HRCT ... Correlation #Table #ILD
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
hypersensitivity pneumonitis ... hypersensitivity pneumonitis ... ; HRCT = high-resolution ... #pulmonary #diagnosis ... algorithm #HP #ILD
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... in ground glass pattern ... Hypersensitivity pneumonitis ... Diagnosis #Radiology #Pulmonary ... #GroundGlass #Differential