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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... disease comes from HRCT ... On HRCT there are ... is interstitial lung ... #Differential #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... bronchiolitis (RB-ILD ... Radiology #Pulmonary #HRCT ... #Upper #Lower #RadiologyAssistant
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... subpleural, basal reticular ... Clinical #Diagnosis #HRCT ... #POCUS #Lung #Correlation ... #Table #ILD #Findings
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
result in decreased lung ... - Emphysema - Lung ... on the basis of HRCT ... Differential #Diagram #Comparison ... Emphysema #SignetRing #RadiologyAssistant
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Hypersensitivity pneumonitis: ill ... Clinical #Radiology #HRCT ... Nodular #Pattern #Comparison ... #Table #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
demonstrates a reticular ... preference at the lung ... The HRCT demonstrates ... #UIP #CTChest #Reticular ... TractionBronchiectasis #RadiologyAssistant
More than 100 entities manifest as diffuse lung disease.
Fortunately only about 10 of these account for
of all diffuse lung ... also uncommon HRCT-presentations ... some of them the old ... SHITFACED #Mnemonic #HRCT ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
smokers, upper lobe ... show very similar HRCT ... throughout the whole lung ... #CTChest #UIP #Comparison ... #RadiologyAssistant
On the left a chest film of a patient with UIP due to IPF.
The findings on
changes in the basal lung ... honeycombing comprises reticular ... reticulation with a lower lobe ... #Pneumonitis #Reticular ... #ILD #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
particularly at the lung ... A HRCT is needed ... pattern at the lung ... HRCT demonstrated ... #Honeycombing #RadiologyAssistant