Pathology hemepath cardiology clinical radiologyassistant collapse ctchest pattern labeled radiology hrct chestxray right pneumonitis hypersensitivity

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Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic

Nodular pattern ... Hypersensitivity ... #Clinical #Radiology ... #HRCT #CTChest ... Comparison #Table #RadiologyAssistant

Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation

: Mosaic pattern ... The HRCT shows a ... #Clinical #Radiology ... #CXR #CTChest # ... Chronic #Fibrosis #RadiologyAssistant

This patient presented with acute dyspnoe and a normal chest film (not shown).
The HRCT at presentation

days later (right ... pneumonitis. ... #Clinical #Radiology ... #CTChest #Hypersensitivity ... #Resolution #RadiologyAssistant

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 # ... HypersenstitivityPneumonitis #RadiologyAssistant

On the left two different patients with similarl HRCT findings.
The left one is a smoker with

UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in

and chronic HP (right ... Pneumonitis. ... show very similar HRCT ... #Clinical #Diagnosis ... #Radiology #CTChest

On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional

The dominant pattern ... would first think hypersensitivity ... pneumonitis, but ... #Clinical #Radiology ... #CTChest #RBILD

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