14 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
On HRCT there are ... reticular, nodular ... , high and low attenuation ... (table). ... #Diagnosis #Radiology
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
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
thickening in the reticular ... pattern. ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #Perilymphatic
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
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Nodular #Pattern
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation ... pattern 1. ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation
atenuation and areas of low ... The HRCT shows a ... and intralobular reticular ... #Clinical #Radiology ... #CXR #CTChest #
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation ... pattern (2) 1. ... #Clinical #Radiology ... #HRCT #CTChest ... #Comparison #Table
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
the dominant HR-pattern ... : reticular nodular ... consolidation) low ... bronchiectasis) #Diagnosis #Radiology ... #Algorithm #ILD
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Reticular #Pattern ... #Comparison #Table