11 results
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... The cystic pattern ... histiocytosis or honeycombing ... #Diagnosis #Radiology
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
Low Attenuation pattern ... Honeycombing 4. ... #Clinical #Radiology ... #HRCT #CTChest ... #Table #RadiologyAssistant
Low Attenuation pattern (2) 
1. Centrilobular emphysema: low attenuation areas without walls. Notice the centrilobular artery
Low Attenuation pattern ... Honeycombing. 4. ... #Clinical #Radiology ... #HRCT #CTChest ... #Table #RadiologyAssistant
The fourth pattern includes abnormalities that result in decreased lung attenuation or air-filled lesions.
These include:
- Emphysema
-
The fourth pattern ... Emphysema - Lung cysts ... on the basis of HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest
The CXR demonstrates a reticular interstitial pattern with a preference at the lung bases.
The HRCT demonstrates
The CXR demonstrates ... preference at the lung bases ... The HRCT demonstrates ... #Clinical #Radiology ... #CXR #UIP #CTChest
UIP
UIP is a histologic pattern of pulmonary fibrosis.
On a chest X-ray UIP manifests as a reticular
On a chest X-ray ... A HRCT is needed ... to confirm the diagnosis ... HRCT demonstrated ... #Clinical #Radiology
Cystic versus Reticular
It can be difficult to determine whether we are dealing with a reticular pattern
or a cystic pattern ... In many of such cases ... a HRCT will give ... #Clinical #Radiology ... #CXR #CTChest #
Radiologists use many terms to describe areas of decreased density or lucencies within the lung, like
emphysema, bulla, honeycombing ... visible wall #CXR ... #Differential #Table ... Lung #Pulmonary #Diagnosis ... #Radiology
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. 
They represent fundamental responses of
indicates unknown cause ... listed in the table ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest
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 ... attenuation (emphysema, cystic ... bronchiectasis) #Diagnosis ... #HRCT #CTChest ... Interpretation #Algorithm