11 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
four patterns: ... low attenuation (table ... The cystic pattern ... pattern on a CXR ... pattern can be
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Nodular pattern ... Miliary TB: random ... Clinical #Radiology #HRCT ... CTChest #Nodular #Pattern ... #Comparison #Table
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
pattern The algorithm ... are visible, the pattern ... bronchovascular interstitium ... Radiology #Pulmonary #HRCT ... NodularPattern #Nodular #Pattern
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... in the nodular pattern ... peribronchovascular interstitium ... NodularPattern #Nodular #Pattern ... Perilymphatic #Comparison
High Attenuation pattern (2) 
1. Non specific interstitial pneumonitis (NSIP): ground glass with traction bronchiectasis, no
High Attenuation pattern ... Non specific interstitial ... Clinical #Radiology #HRCT ... HighAttenuation #Pattern ... #Comparison #Table
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
Reticular pattern ... peribronchovascular interstitium ... #CTChest #Reticular ... #Pattern #Comparison ... #Table #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 ... perilymphatic or random ... Interpretation #Algorithm ... #ILD #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
listed in the table ... have specific patterns ... morphologic findings on HRCT ... realise, that these patterns ... IdiopathicInterstitialPneumonia #ILD
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
with a nodular pattern ... Miliary TB: random ... CTChest #Nodular #Pattern ... #Differential #Comparison ... #Table #RadiologyAssistant
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
Figure 3 HRCT-LUS ... artifact); (G) UIP pattern ... subpleural, basal reticular ... #Correlation #Table ... #ILD #Findings