PatternA radiologyassistant table algorithm ild diffuse pattern findings patterns fibrosis

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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

Here are the most common examples of these four patterns on a chest x-ray (click image

of these four patterns ... consolidation - Diffuse ... consolidation - Multifocal ill-defined ... Consolidation #Patterns ... #RadiologyAssistant

The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders.
They represent fundamental responses of

combinations of fibrosis ... listed in the table ... have specific patterns ... realise, that these patterns ... #Findings #RadiologyAssistant

High Attenuation pattern (2)
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no

High Attenuation pattern ... result of massive fibrosis ... HighAttenuation #Pattern ... #Comparison #Table ... #RadiologyAssistant

Antinuclear Antibodies (ANA)
ANA or Anti-NucIear Antibody refers to antibodies against antigens in the nucleus → like

serial dilution, a pattern ... significant • Pattern ... : The ANA patterns ... not specific ANA Patterns ... Antibodies #ANA #patterns

High Attenuation pattern
1. Chronic eosinophilic pneumonia with peripheral areas of ground glass opacity.
2. Sarcoid end-stage

High Attenuation pattern ... end-stage with massive fibrosis ... HighAttenuation #Pattern ... #Comparison #Table ... #RadiologyAssistant

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

Chronic hypersensitivity pneumonitis
The key findings in chronic hypersensitivity pneumonitis are:
Mosaic pattern with areas of ground-glass atenuation

pneumonitis The key findings ... pneumonitis are: Mosaic pattern ... Fibrosis and parenchymal ... shows a mosaic pattern ... #RadiologyAssistant

Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look

pattern The algorithm ... are visible, the pattern ... the nodules are diffuse ... NodularPattern #Nodular #Pattern ... #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

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