13 results
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... 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 ... bronchiolitis (RB-ILD ... #Pulmonary #HRCT ... #Table #Distribution
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR ... 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 ... : reticular nodular ... #Pulmonary #HRCT ... #Algorithm #ILD ... #RadiologyAssistant
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
of pulmonary fibrosis ... On a chest X-ray ... lung bases. ... #Clinical #Radiology ... #Honeycombing #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... #Clinical #Radiology ... #HRCT #CTChest ... #Reticular #Pattern ... #Comparison #Table
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... diagnosis (Table ... #Pulmonary #HRCT ... #CTChest #Reticular ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest ... #Findings #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
Subacute stage: - RB-ILD ... centrilobular emphysema ... show very similar HRCT ... #Clinical #Diagnosis ... #Radiology #CTChest
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential # ... Comparison #Table