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diagnosis ctchest clinical comparison interstitial pattern algorithm chestct chronic consolidation diffuse distribution findings hypersensitivitypneumonitis idiopathic idiopathicinterstitialpneumonia interpretation lobar lower mimic
Upper lung zone preference is seen in: - Inhaled particles: pneumoconiosis (silica or coal) - Smoking related diseases
(centrilobular emphysema ... bronchiolitis (RB-ILD ... edema #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Table #Distribution
Differential diagnosis on HRCT Most of our knowledge about imaging findings in interstitial lung disease comes from
patterns: reticular, nodular ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #RadiologyAssistant
On the left some diseases with a nodular pattern. 1. Hypersensitivity pneumonitis: ill defined centrilobular nodules. 2. Miliary
Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... NodularPattern #Differential ... #Comparison #Table ... #RadiologyAssistant
UIP with honeycombing (left) and chronic HP (right) Differential diagnosis of Hypersensitivity Pneumonitis. Subacute stage: - RB-ILD: seen in
chronic HP (right) Differential ... centrilobular emphysema ... show very similar HRCT ... Clinical #Diagnosis #Radiology ... #Mimic #ILD #RadiologyAssistant
Basic Interpretation A structured approach to interpretation of HRCT involves the following questions: What is the dominant HR-pattern: reticular nodular high
HR-pattern: reticular nodular ... low attenuation (emphysema ... bronchiectasis) #Diagnosis #Radiology ... #Pulmonary #HRCT ... #RadiologyAssistant
The idiopathic interstitial pneumonias (IIPs) comprise a heterogenous group of disorders. They represent fundamental responses of
combinations of fibrosis ... listed in the table ... morphologic findings on HRCT ... #Diagnosis #Radiology ... #Pulmonary #CTChest
Differential diagnosis The table summarizes the most common diseases, that present with consolidation. Chronic diseases are indicated in
Differential diagnosis ... The table summarizes ... #Diagnosis #Radiology ... #Pulmonary #CXR ... #Table #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings. The dominant pattern is ground glass opacification. Additional
with subtle HRCT-findings ... are paraseptal emphysema ... there is a broad differential ... #Clinical #Radiology ... #RadiologyAssistant
Septal thickening Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
interstitium by fluid, fibrous ... diagnosis (Table ... Nodular or irregular ... #Diagnosis #Radiology ... #Pulmonary #HRCT
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