10 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
result in decreased lung ... - Lung cysts (LAM ... on the basis of HRCT ... LowAttenuation #Differential ... #SignetRing #RadiologyAssistant
Upper lung zone preference is seen in:
- Inhaled particles: pneumoconiosis (silica or coal)
- Smoking related diseases
Upper lung zone ... (centrilobular emphysema ... Radiology #Pulmonary #HRCT ... #ChestCT #Differential ... #Upper #Lower #RadiologyAssistant
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... is interstitial lung ... Interstitial #Pattern #Differential ... #RadiologyAssistant
On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture
in the affected lung ... appearance of extensive lung ... distinguishable from normal lung ... difficult to detect on HRCT ... PanlobularEmphysema #RadiologyAssistant
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
In the differential ... To differentiate ... the surrounding lung ... #Cavity #Cyst #Emphysema ... #Comparison #RadiologyAssistant
Ground-glass opacity
Ground-glass opacity (GGO) represents:
- Filling of the alveolar spaces with pus, edema, hemorrhage, inflammation or
resolution of the HRCT ... or interstitial lung ... #GroundGlass #Differential ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... centrilobular emphysema ... show very similar HRCT ... throughout the whole lung ... Fibrosis #Mimic #ILD #RadiologyAssistant
Honeycombing is defined by the presence of small cystic spaces with irregularly thickened walls composed of
and subpleural lung ... from paraseptal emphysema ... #Honeycombing #Differential ... #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
RB-ILD with subtle HRCT-findings ... are paraseptal emphysema ... there is a broad differential ... interpretion of the HRCT ... RespiratoryBronchiolitis #ILD #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
Thickening of the lung ... with interstitial lung ... has a limited differential ... Radiology #Pulmonary #HRCT ... #RadiologyAssistant