8 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 ... in many cases UIP
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 ... HRCT demonstrated ... #Clinical #Radiology ... #CXR #UIP #Reticular
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
infection (IFI) in hematologic ... cut-offs defined in clinical ... and allogeneic HSCT ... BAL GM does not differentiate ... 100d following HSCT
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
UIP with honeycombing ... chronic HP (right) Differential ... show very similar HRCT ... #Clinical #Diagnosis ... #Radiology #CTChest
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives
1,3-Beta-D-Glucan
 • Cell wall component of many fungi
>90% (In most clinical ... in BAL does not differentiate ... False positives: Pip ... 100d following HCT ... blood products #BetaDGlucan
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Hemoptysis • Coughing up ... Loss of weight • Chest ... Physical stigmata of cor ... Diagnosis: • HRCT ... Bronchiectasis #pulmonary #differential
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
RB-ILD with subtle HRCT-findings ... there is a broad differential ... interpretion of the HRCT ... patient was coughing up ... #CTChest #RBILD