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Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... - Diffuse consolidation ... - Multifocal ill-defined ... mass - Solitary Pulmonary ... #Patterns #RadiologyAssistant
Differential diagnosis
The table summarizes the most common diseases, that present with consolidation.
Chronic diseases are indicated in
to look at the pattern ... more than one pattern ... #Pulmonary #CXR ... #Multifocal #Differential ... #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... low attenuation pattern ... #Pulmonary #CTChest ... LowAttenuation #Differential ... #Diagram #Comparison
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... resulting in lobar, diffuse ... or multifocal ill-defined ... #Diagnosis #Radiology ... #Patterns #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Pulmonary #CTChest ... #Nodular #Pattern ... #Comparison #Table ... #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 ... (ground-glass, consolidation ... low attenuation (emphysema ... #Pulmonary #HRCT ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... are paraseptal emphysema ... there is a broad differential ... #Clinical #Radiology ... #RadiologyAssistant