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radiology clinical ctchest diagnosis hrct pulmonary consolidation differential interstitial langerhanscellhistiocytosis lch lowattenuation nodular histiocytosis ild interpretation langerhans lobar multifocal nodularpattern
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
low attenuation (table ... common pattern ... The cystic pattern ... pattern on a CXR ... #Differential #RadiologyAssistant
Low Attenuation pattern 1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... (LAM): uniform cysts ... bizarre shaped cysts ... #Pattern #Comparison ... #Table #RadiologyAssistant
Here are the most common examples of these four patterns on a chest x-ray (click image
of these four patterns ... consolidation - Diffuse ... Interstitial - Reticular ... Consolidation #Patterns ... #RadiologyAssistant
Low Attenuation pattern (2) 1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... (LAM): regular cysts ... LowAttenuation #Cystic ... #Pattern #Comparison ... #Table #RadiologyAssistant
Cystic versus Reticular It can be difficult to determine whether we are dealing with a reticular pattern
Cystic versus Reticular ... pattern or a cystic ... pattern. ... pattern. ... LangerhansCellHistiocytosis #LCH #RadiologyAssistant
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 ... CTChest #Nodular #Pattern ... #Comparison #Table ... #RadiologyAssistant
Whenever you see an area of increased density within the lung, it must be the result
of these four patterns ... resulting in lobar, diffuse ... fine or coarse reticular ... Consolidation #Patterns ... #RadiologyAssistant
Differential diagnosis The table summarizes the most common diseases, that present with consolidation. Chronic diseases are indicated in
diagnosis The table ... to look at the pattern ... more than one pattern ... Radiology #Pulmonary #CXR ... #RadiologyAssistant
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
with a nodular pattern ... before the typical cysts ... CTChest #Nodular #Pattern ... #Differential #Comparison ... #Table #RadiologyAssistant
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... HRCT #CTChest #Reticular ... #Pattern #Comparison ... #Table #RadiologyAssistant
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