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radiology ctchest clinical comparison hrct pulmonary diagnosis cxr differential lowattenuation nodular fleischner followup histiocytosis ild interpretation interstitial langerhanscellhistiocytosis lch nodularpattern
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 ground-glass pattern ... The cystic pattern
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
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
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
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis. The
is a reticular patern ... far as you can go ... recognized that this pattern ... caused by multiple cysts ... #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 ... attenuation (emphysema, cystic ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
Fleischner Society recommendations for follow-up of nodules Previous chest radiographs should be reviewed to determine if the
lesion has been stable ... with a benign pattern ... Management of indeterminate ... #Management #Radiology ... Pulmonary #Nodules #RadiologyAssistant
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