11 results
The distribution of nodules shown on HRCT is the most important factor in making an accurate
nodules shown on HRCT ... centrilobular or random ... Random refers to ... Radiology #Pulmonary #HRCT ... Perilymphatic #Comparison
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... perilymphatic, random ... it is likely a random ... Radiology #Pulmonary #HRCT
Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
Diagnostic algorithm ... HRCT = high-resolution ... pulmonary fibrosis; UIP ... pneumonitis #IPF #UIP ... #Algorithm #Diagnosis
Nodular pattern
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary TB: random nodules
3. Sarcoidosis: nodules with perilymphatic
Miliary TB: random ... Clinical #Radiology #HRCT ... Nodular #Pattern #Comparison
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
Lung cysts (LAM, LIP ... on the basis of HRCT ... Differential #Diagram #Comparison
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
- Metastases: random ... central dot. - LIP ... #Differential #Comparison
Approach to the diagnosis of chronic hypersensitivity pneumonitis. 
*Consider additional test: bronchoscopy with bronchoalveolar lavage, transbronchial
hypersensitivity pneumonitis; HRCT ... computed tomography; UIP ... pulmonary #diagnosis #algorithm
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 ... perilymphatic or random ... Radiology #Pulmonary #HRCT ... Interpretation #Algorithm
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
and allogeneic HSCT ... Positives: - Pip ... 100d following HSCT ... Galactomannan #diagnosis #comparison
Polycythemia - Differential Diagnosis Algorithm
Polycythemia itself isn’t a diagnosis. Like many things, it is a condition
Differential Diagnosis Algorithm ... Hb>16.5 g/dL, Hct ... Hb>16.0 g/dL, Hct ... Look it up Secondary ... Differential #Diagnosis #Algorithm