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Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
Approach to the diagnosis ... hypersensitivity pneumonitis; HRCT ... #pneumonitis #pulmonary ... #diagnosis #algorithm ... #HP #ILD
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
bronchiolitis (RB-ILD ... - Aspiration - Pulmonary ... edema #Diagnosis ... #Radiology #Pulmonary ... #HRCT #ChestCT
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
in sarcoidosis and ... cardiogenic pulmonary ... eosinophilic pneumonia and ... #Diagnosis #Radiology ... #Pulmonary #HRCT
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
pneumoconiosis and ... in differential diagnosis ... the nodular septal ... #Diagnosis #Radiology ... #Pulmonary #HRCT
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... next to pleura and ... #Clinical #Radiology ... #HRCT #CTChest
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Differential #Algorithm
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... patterns: reticular, nodular ... appreciate on a cest ... #Diagnosis #Radiology ... #Pulmonary #CXR
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
also uncommon HRCT-presentations ... some of them the old ... #Diagnosis #Radiology ... #Pulmonary #SHITFACED ... #Mnemonic #HRCT
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 ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
consolidation - Multifocal ill-defined ... opacities - Fine Nodular ... mass - Solitary Pulmonary ... Masses Atelectasis #Diagnosis ... #Clinical #Radiology