9 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... findings. ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Differential #Diagram #Comparison
Mosaic attenuation
The term 'mosaic attenuation' is used to describe density differences between affected and non-affected lung
Mosaic attenuation ... thromboembolic disease #Diagnosis ... #Radiology #Pulmonary ... #CTChest #MosaicAttenuation ... #Mosaic #Attenuation
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
with ground glass pattern ... are confluent, HRCT ... #Clinical #Radiology ... #CTChest #GGO # ... MosaicAttenuation
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... , high and low attenuation ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Differential #RadiologyAssistant
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 ... there additional findings ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
edema: incidental finding ... : ground glass attenuation ... #Clinical #Radiology ... #Comparison #Table ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
on HRCT and histology ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
It can be difficult to distinguish these three entities.
There are two diagnostic hints for further differentiation:
-
There are two diagnostic ... penicillamine) #Clinical #Radiology ... #CTChest #MosaicAttenuation ... #Mosaic #Attenuation ... #Comparison #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
with subtle HRCT-findings ... The dominant pattern ... broad differential diagnosis ... #Clinical #Radiology ... #RadiologyAssistant