11 results
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
and centrilobular ... distribution is likely centrilobular ... bronchovascular interstitium ... Radiology #Pulmonary #HRCT ... #CTChest #NodularPattern
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... peribronchovascular interstitium ... Radiology #Pulmonary #HRCT ... #NodularPattern ... #Centrilobular
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
pneumonitis: ill defined centrilobular ... Miliary TB: random ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
pneumonitis: ill defined centrilobular ... Miliary TB: random ... #Clinical #Diagnosis ... Nodular #Pattern #NodularPattern ... Differential #Comparison #Table
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Centrilobular emphysema ... Notice the centrilobular ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Centrilobular emphysema ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
- Metastases: random ... ring sign'. - Centrilobular ... central dot. - LIP #Clinical ... Differential #Comparison #Table
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
Non specific interstitial ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
Basic Interpretation
A structured approach to interpretation of HRCT involves the following questions:
What is the dominant HR-pattern:
reticular
nodular
high
interpretation of HRCT ... secondary lobule (centrilobular ... perilymphatic or random ... Radiology #Pulmonary #HRCT ... Interpretation #Algorithm
Metastases
Metastases are the most common cause of multiple pulmonary masses.
Usually they vary in size and are
HRCT will demonstrate ... the random distribution ... perilymphatic or centrilobular ... #Clinical #Radiology