9 results
Perilymphatic distribution
Perilymphatic nodules are most commonly seen in sarcoidosis.
They also occur in silicosis, coal-worker's pneumoconiosis and
Perilymphatic nodules ... nodules and the ... #Diagnosis #Radiology ... #Pulmonary #HRCT ... #Nodular #Differential
Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
#Diagnosis #Radiology ... #Pulmonary #HRCT ... #CTChest #NodularPattern ... #Nodular #Pattern ... #Differential #
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
#Clinical #Diagnosis ... #Radiology #Pulmonary ... #CTChest #Nodular ... #Differential # ... Comparison #Table
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... reticular, nodular ... low attenuation (table ... #Diagnosis #Radiology ... #Pulmonary #CXR
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 ... bronchiectasis) #Diagnosis ... #Radiology #Pulmonary ... #HRCT #CTChest
On the left a patient with ground glass pattern in a mosaic distribution.
Some lobules are involved
with ground glass pattern ... The differential ... centrilobular nodules ... density (acinar nodules ... #Clinical #Radiology
Septal thickening
Thickening of the lung interstitium by fluid, fibrous tissue, or infiltration by cells results in
cells results in a pattern ... diagnosis (Table ... Nodular or irregular ... #Diagnosis #Radiology ... #Pulmonary #HRCT
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
for follow-up of nodules ... with a benign pattern ... mm depends on clinical ... #Management #Radiology ... #Nodules #RadiologyAssistant
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
The dominant pattern ... there is a broad differential ... diagnosis and additional ... #Clinical #Radiology ... #CTChest #RBILD