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radiology radiologyassistant clinical comparison diagnosis pulmonary differential cxr ild interstitial lowattenuation nodular desquamativeinterstitialpneumonia dip honeycombing interpretation langerhans langerhanscellhistiocytosis lch multiplenodules
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
four patterns: ... low attenuation (table ... The cystic pattern ... When the cysts have ... pattern on a CXR
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... #Cystic #Pattern ... #Comparison #Table
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... Clinical #Radiology #HRCT ... #CTChest #LowAttenuation ... #Cystic #Pattern ... #Comparison #Table
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
Cystic versus Reticular ... pattern or a cystic ... pattern. ... pattern. ... of such cases a HRCT
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
Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look
pattern The algorithm ... are visible, the pattern ... the nodules are diffuse ... #CTChest #NodularPattern ... #Nodular #Pattern
Honeycombing represents the second reticular pattern recognizable on HRCT. Because of the cystic appearance, honeycombing is also
represents the second reticular ... pattern recognizable ... on HRCT. ... low attenuation pattern ... Clinical #Radiology #CTChest
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 ... attenuation (emphysema, cystic ... #CTChest #Interpretation ... #Algorithm #ILD
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... incidental finding in HRCT ... #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
On the left a patient with DIP. The HRCT shows diffuse areas of ground-glass density in the
The HRCT shows diffuse ... and some mosaic pattern ... Reticular abnormalities ... Clinical #Radiology #CTChest
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