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Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
about imaging findings ... interstitial lung disease ... there are four patterns ... low attenuation (table ... #Differential #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Honeycombing Most diseases ... low attenuation pattern ... basis of HRCT findings ... Differential #Diagram #Comparison
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Hypersensitivity pneumonitis: ill ... CTChest #Nodular #Pattern ... #Comparison #Table ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... specific patterns ... realise, that these patterns ... IdiopathicInterstitialPneumonia #ILD ... #Findings #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
the left some diseases ... with a nodular pattern ... CTChest #Nodular #Pattern ... #Differential #Comparison ... #Table #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 ... #Differential #Table ... #RadiologyAssistant
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
rheumatoid lung disease ... artifact); (G) UIP pattern ... #Correlation #Table ... #ILD #Findings
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
is an important finding ... produces only mild ... summarizes the findings ... Lobar #Collapse #Patterns ... #Comparison #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... edema: incidental finding ... CTChest #Reticular #Pattern ... #Comparison #Table ... #RadiologyAssistant
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 ... there additional findings ... Interpretation #Algorithm ... #ILD #RadiologyAssistant