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radiology radiologyassistant ctchest clinical diagnosis pulmonary differential lowattenuation nodular boop cop cryptogenic highattenuation ild langerhans langerhanscellhistiocytosis lch management multiplenodules nodularpattern
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 ... pattern can be
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 ... Non specific interstitial ... 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 ... of such cases a HRCT ... #Interstitial #
Algorithm for nodular pattern The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following: - Look
pattern The algorithm ... are visible, the pattern ... the nodules are diffuse ... Radiology #Pulmonary #HRCT ... NodularPattern #Nodular #Pattern
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... incidental finding in HRCT ... peribronchovascular interstitium ... CTChest #Reticular #Pattern ... #Comparison #Table
Cryptogenic Organizing Pneumonia (COP) Cryptogenic Organizing Pneumonia Overview: • Idiopathic form of organizing pneumonia • formerly BOOP
BOOP • Type of interstitial ... - Imaging: • CXR ... consolidation and GG pattern ... , cavities • HRCT ... Pulmonary lymphoma, Diffuse
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