16 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... about imaging findings ... low attenuation (table ... #Diagnosis #Radiology ... #Differential #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... basis of HRCT findings ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... Emphysema #SignetRing #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #RadiologyAssistant
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... #Clinical #Diagnosis ... Radiology #Pulmonary #CTChest ... Differential #Comparison #Table ... #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... edema: incidental finding ... Radiology #HRCT #CTChest ... #Comparison #Table ... #RadiologyAssistant
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... a predominant finding ... (Table). ... Pulmonary #HRCT #CTChest ... #Differential #RadiologyAssistant
Lobar atelectasis or lobar collaps is an important finding on a chest x-ray and has a
is an important finding ... on a chest x-ray ... #Diagnosis #Radiology ... Lobar #Collapse #Patterns ... #Comparison #RadiologyAssistant
On the left a chest film of a 19 year old patient with Langerhans cell histiocytosis.
The
The dominant findig ... is a reticular patern ... challenging differential diagnosis ... Radiology #CXR #CTChest ... Histiocytosis #Cystic #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 ... bronchiectasis) #Diagnosis ... Pulmonary #HRCT #CTChest ... Algorithm #ILD #RadiologyAssistant
Chronic hypersensitivity pneumonitis (2)
The case on the left shows an inspiratory and expiratory scan: the mosaic
scan: the mosaic pattern ... on the imaging findigs ... with a mozaic pattern ... Clinical #Radiology #CTChest ... HypersensitivityPneumonitis #Fibrosis #RadiologyAssistant