9 results
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern ... #Comparison #Table
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... #Clinical #Radiology ... #HRCT #CTChest ... #Nodular #Pattern ... #Comparison #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... reticular, nodular ... low attenuation (table ... based on the x-ray findings ... #Diagnosis #Radiology
Sarcoidosis
In this case the chest x-ray shows subtle findings that could be described as fine reticulation.
In
x-ray shows subtle findings ... In many cases a HRCT ... The HRCT - not shown ... #Clinical #Radiology ... #Interstitial #Pattern
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
of HRCT involves ... the dominant HR-pattern ... : reticular nodular ... there additional findings ... #Algorithm #ILD
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
pneumonitis The key findings ... The HRCT shows a ... mosaic pattern ... and secondry nodules ... #Clinical #Radiology
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... edema: incidental finding ... in HRCT, smooth ... #Clinical #Radiology ... #Comparison #Table
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 ... The dominant pattern ... mandatory for the interpretion ... of the HRCT. ... #Clinical #Radiology
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... a predominant finding ... differential diagnosis (Table ... Nodular or irregular ... #Pulmonary #HRCT