146 results
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
hypersensitivity pneumonitis ... hypersensitivity pneumonitis ... ; HRCT = high-resolution ... hypersensitivity #pneumonitis
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis ... Hypersensitivity pneumonitis ... Clinical #Radiology #HRCT
Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
HRCT = high-resolution ... usual interstitial pneumonitis
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
hypersensitivity pneumonitis ... hypersensitivity pneumonitis ... hypersensitivity pneumonitis ... The HRCT shows a ... Hypersensitivity #Pneumonitis
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Hypersensitivity pneumonitis ... Radiology #Pulmonary #HRCT
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
pembrolizumab) -Pneumonitis ... malignancy-associated pnuemonitis ... well as radiation pneumonitis ... clinical diagnosis pneumonitis
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
specific interstitial pneumonitis ... Clinical #Radiology #HRCT
Exposure Related ILD

 • Hypersensitivity pneumonitis
 • Pneumoconioses 
 • Radiation pneumonitis
 • Medication-induced ILD

Andrew Sanchez
Hypersensitivity pneumonitis ... • Radiation pneumonitis
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
Hypersensitivity pneumonitis ... • Radiation pneumonitis ... Idiopathic Interstitial Pneumonias
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
other interstitial pneumonias ... , cavities • HRCT ... Idiopathic interstitial pneumonia ... Hypersensitivity pneumonitis