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radiology radiologyassistant ctchest hrct clinical diagnosis pulmonary differential ild correlation cxr findings fleischner followup interpretation interstitial lung nodularpattern nodules septalthickening
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... : reticular, nodular ... the most common pattern ... The cystic pattern ... pattern on a CXR
Nodular pattern 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary TB: random nodules 3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... centrilobular nodules ... Sarcoidosis: nodules ... #Pattern #Comparison ... #Table #RadiologyAssistant
Nodular pattern(2) 1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy. 2. TB: Tree-in-bud appearance in a patient
Nodular pattern( ... Sarcoidosis: nodules ... HRCT #CTChest #Nodular ... #Pattern #Comparison ... #Table #RadiologyAssistant
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
diseases with a nodular ... pattern. 1. ... #Pattern #NodularPattern ... #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
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis. Notes: (A)
artifact); (G) UIP pattern ... subpleural, basal reticular ... Diagnosis #HRCT #POCUS ... #Correlation #Table
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 ... : reticular nodular ... Interpretation #Algorithm
Septal thickening Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... of reticular opacities ... differential diagnosis (Table ... Nodular or irregular ... HRCT #CTChest #Reticular
Fleischner Society recommendations for follow-up of nodules Previous chest radiographs should be reviewed to determine if the
for follow-up of nodules ... lesion has been stable ... with a benign pattern ... Management of indeterminate ... #Management #Radiology
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