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radiology radiologyassistant clinical diagnosis hrct differential pulmonary highattenuation interstitial challenges chronic cxr disorders druginduced drugrelated findings fluid ggo groundglass hypersensitivity
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
in interstitial lung ... there are four patterns ... low attenuation (table ... is interstitial lung ... is frequently not
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... result of massive fibrosis ... Radiology #HRCT #CTChest ... HighAttenuation #Pattern ... #Comparison #Table
High Attenuation pattern 1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity. 2. Sarcoid end-stage
High Attenuation pattern ... end-stage with massive fibrosis ... Radiology #HRCT #CTChest ... HighAttenuation #Pattern ... #Comparison #Table
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... sparing of the area next ... Radiology #HRCT #CTChest ... #Nodular #Pattern ... #Comparison #Table
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
combinations of fibrosis ... listed in the table ... have specific patterns ... realise, that these patterns ... Radiology #Pulmonary #CTChest
Personality Disorders - Differential Diagnosis Algorithm • Enduring pattern of experience and behaviour that deviates from cultural
• Enduring pattern ... control • The pattern ... situations • The pattern ... functioning • The pattern ... adolescence • The pattern
On the left a patient who is treated with cytotoxic drugs for a hematologic malignancy. The radiographic
patients with a UIP pattern ... or NSIP pattern ... , that does not ... consider drug-related lung ... Clinical #Radiology #CTChest
Ground-glass opacity is nonspecific, but highly significant finding since 60-80% of patients with ground-glass opacity on
potentially treatable lung ... the cases the lung ... disease is not ... the ground-glass pattern ... Clinical #Radiology #CTChest
Chronic hypersensitivity pneumonitis (2) The case on the left shows an inspiratory and expiratory scan: the mosaic
scan: the mosaic pattern ... mid and lower lung ... zones, but not ... with a mozaic pattern ... Clinical #Radiology #CTChest
Septal thickening Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... interstitium by fluid, fibrous ... cells results in a pattern ... differential diagnosis (Table ... Pulmonary #HRCT #CTChest
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