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radiology radiologyassistant ctchest clinical diagnosis pulmonary cxr table honeycombing ild nodular differential lowattenuation reticular uip diagram nodularpattern pneumonia tractionbronchiectasis acuteinterstitialpneumonia
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
four patterns: ... The cystic pattern ... When the cysts have ... pattern can be ... seen and in many cases
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... (LAM): uniform cysts ... bizarre shaped cysts ... Clinical #Radiology #HRCT ... #Pattern #Comparison
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... (LAM): regular cysts ... Clinical #Radiology #HRCT ... LowAttenuation #Cystic ... #Pattern #Comparison
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions. These include: - Emphysema -
The fourth pattern ... Emphysema - Lung cysts ... low attenuation pattern ... on the basis of HRCT ... Differential #Diagram #Comparison
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Non specific interstitial ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern ... #Comparison #Table
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
with a reticular pattern ... or a cystic pattern ... or a reticular pattern ... a HRCT will give ... #Interstitial #
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... before the typical cysts ... 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
pattern The algorithm ... are visible, the pattern ... bronchovascular interstitium ... Radiology #Pulmonary #HRCT ... NodularPattern #Nodular #Pattern
Sarcoidosis In this case the chest x-ray shows subtle findings that could be described as fine reticulation. In
In many cases a ... HRCT is needed to ... The HRCT - not shown ... Sarcoidosis #Nodular #Interstitial ... #Pattern #RadiologyAssistant
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases. The HRCT demonstrates
demonstrates a reticular interstitial ... pattern with a ... preference at the lung bases ... The HRCT demonstrates ... #Pattern #Honeycombing
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