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radiologyassistant ctchest diagnosis clinical differential algorithm chestct comparison cxr distribution table chronic cystic cysts diagram fibrosis histiocytosis honeycombing hypersensitivitypneumonitis interpretation
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential
Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema. Peripheral distribution is mainly seen in cryptogenic
Central distribution ... and cardiogenic pulmonary ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
These include: - Emphysema ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential
Basic Interpretation A structured approach to interpretation of HRCT involves the following questions: What is the dominant HR-pattern: reticular nodular high
low attenuation (emphysema ... lower zone or a central ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... Interpretation #Algorithm #ILD
UIP with honeycombing (left) and chronic HP (right) Differential diagnosis of Hypersensitivity Pneumonitis. Subacute stage: - RB-ILD: seen in
chronic HP (right) Differential ... centrilobular emphysema ... show very similar HRCT ... periphery towards the centrum ... Clinical #Diagnosis #Radiology
Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look
nodules along the central ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... MultipleNodules #Nodules #Differential
On the left a typical case of panlobular emphysema. There is uniform destruction of the underlying architecture
the secondary pulmonary ... Pulmonary vessels ... the other hand, mild ... difficult to detect on HRCT ... #Clinical #Radiology
On the left a smoker with RB-ILD with subtle HRCT-findings. The dominant pattern is ground glass opacification. Additional
with subtle HRCT-findings ... are paraseptal emphysema ... there is a broad differential ... interpretion of the HRCT ... #Clinical #Radiology
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis. The
film of a 19 year old ... most challenging differential ... can identify the central ... helpfull in the differential ... #Clinical #Radiology
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
The differential ... abnormality includes an old ... calcified empyema ... treatment for pulmonary ... Clinical #PCC #Radiology
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