9 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... there are four patterns ... low attenuation (table ... The cystic pattern ... #Differential #
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... perihilar and in upper ... 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 ... massive fibrosis in upper ... Radiology #HRCT #CTChest ... HighAttenuation #Pattern ... #Comparison #Table
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Radiology #Pulmonary #CTChest ... #Nodular #Pattern ... NodularPattern #Differential ... #Comparison #Table
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... Radiology #HRCT #CTChest ... #Reticular #Pattern ... #Comparison #Table
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
film is a reticular ... patern and that's ... recognized that this pattern ... The upper lobe predominance ... Radiology #CXR #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 ... random) Is there an upper ... Pulmonary #HRCT #CTChest ... Interpretation #Algorithm
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... of reticular opacities ... has a limited differential ... diagnosis (Table ... #Differential #
PFAPA Syndrome - Periodic Fever, Aphthous Stomatitis, Pharyngitis, and Adenitis

EPIDEMIOLOGY:
PFAPA is the most common syndrome entailing
DIFFERENTIAL DIAGNOSIS ... the acute flare; chest ... dominant inheritance pattern ... likelihood of an acute upper ... not have a known pathogenic