10 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
- Lung cysts (LAM ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... (centrilobular emphysema ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Upper #Lower #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
the secondary pulmonary ... Pulmonary vessels ... difficult to detect on HRCT ... #Clinical #Radiology ... PanlobularEmphysema #RadiologyAssistant
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 ... low attenuation (emphysema ... #Pulmonary #HRCT ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
the surrounding lung ... without associated pulmonary ... emphysema. ... #Clinical #Diagnosis ... #Comparison #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
centrilobular emphysema ... show very similar HRCT ... throughout the whole lung ... #Clinical #Diagnosis ... Fibrosis #Mimic #ILD #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
histologic pattern of pulmonary ... A HRCT is needed ... HRCT demonstrated ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
Metastases
Metastases are the most common cause of multiple pulmonary masses.
Usually they vary in size and are
cause of multiple pulmonary ... HRCT will demonstrate ... #Clinical #Radiology ... CXR #LungMets #Lung ... #Metastases #RadiologyAssistant
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 ... are paraseptal emphysema ... and additional clinical ... #Clinical #Radiology ... RespiratoryBronchiolitis #ILD #RadiologyAssistant
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... event, follow ACC algorithm ... Change in clinical ... one post op Cardiology ... unless prior heart/lung