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Central distribution is seen in sarcoidosis and cardiogenic pulmonary edema.
Peripheral distribution is mainly seen in cryptogenic
and cardiogenic pulmonary ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #ChestCT #Differential ... #Table #Distribution
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Emphysema - Lung ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... LowAttenuation #Differential
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... dot. - LIP #Clinical ... #Diagnosis #Radiology ... #CTChest #Cystic ... #Comparison #Table
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
responses of the lung ... listed in the table ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest
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 ... #CTChest #NodularPattern ... MultipleNodules #Nodules #Differential
Consolidation is synonymous with airspace disease.
When you think of the causes of consolidation, think of 'what
or tumor cells (Table ... UIP, NSIP and long ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Consolidation #Differential
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
diagnosis (Table ... edema (Kerley B lines ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Reticular
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... or interstitial lung ... bronchiolitis #Diagnosis #Radiology ... #Pulmonary #CTChest ... #GroundGlass #Differential