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radiology radiologyassistant ctchest clinical diagnosis pulmonary interstitial differential ild lowattenuation pneumonia boop consolidation cop findings highattenuation idiopathic idiopathicinterstitialpneumonia langerhans langerhanscellhistiocytosis
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
four patterns: ... low attenuation (table ... common pattern ... The cystic pattern ... seen and in many cases
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... (LAM): uniform cysts ... Clinical #Radiology #HRCT ... #Pattern #Comparison ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... (LAM): regular cysts ... Clinical #Radiology #HRCT ... #Pattern #Comparison ... #Table #RadiologyAssistant
High Attenuation pattern (2) 1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Cryptogenic organizing ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern ... #Comparison #Table
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... before the typical cysts ... Clinical #Radiology #HRCT ... CTChest #Nodular #Pattern ... #Comparison #Table
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
with a reticular pattern ... or a cystic pattern ... or a reticular pattern ... In many of such cases ... a HRCT will give
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 ... lobar pneumonia caused ... idiopathic it is called cryptogenic ... Radiology #Pulmonary #CXR
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
Unknown • 6-7 cases ... - Imaging: • CXR ... consolidation and GG pattern ... , cavities • HRCT ... Pulmonary lymphoma, Diffuse
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
indicates unknown cause ... listed in the table ... have specific patterns ... idiopathic or cryptogenic ... realise, that these patterns
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