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radiology radiologyassistant ctchest clinical diagnosis hrct pulmonary differential nodular cxr lowattenuation nodularpattern centrilobular diagram distribution findings highattenuation hypertension idiopathic idiopathicinterstitialpneumonia
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
there are four patterns ... and what kind of pattern ... the most 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 ... bizarre shaped cysts ... #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 ... LowAttenuation #Cystic ... #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 ... 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 ... 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 ... #Interstitial #
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
The idiopathic interstitial ... indicates unknown cause ... listed in the table ... have specific patterns ... realise, that these patterns
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
The distribution of nodules shown on HRCT is the most important factor in making an accurate
in the nodular pattern ... In most cases small ... peribronchovascular interstitium ... NodularPattern #Nodular #Pattern ... Perilymphatic #Comparison
Reticular pattern 1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma. 2.
Reticular pattern ... peribronchovascular interstitium ... CTChest #Reticular #Pattern ... #Comparison #Table
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